Healthcare Provider Details

I. General information

NPI: 1336765676
Provider Name (Legal Business Name): SUNSCAPE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2020
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3434 HANCOCK BRIDGE PKWY STE 205
NORTH FORT MYERS FL
33903-7005
US

IV. Provider business mailing address

3434 HANCOCK BRIDGE PKWY STE 205
NORTH FORT MYERS FL
33903-7005
US

V. Phone/Fax

Practice location:
  • Phone: 518-844-1675
  • Fax: 239-294-3937
Mailing address:
  • Phone: 518-844-1675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: AMY POLSINELLI
Title or Position: CEO/OWNER
Credential: LCSW
Phone: 518-844-1675