Healthcare Provider Details

I. General information

NPI: 1376252205
Provider Name (Legal Business Name): UGUET CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2022
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4008 WHOLESALE CT UNIT 2
NORTH FORT MYERS FL
33903-4277
US

IV. Provider business mailing address

4008 WHOLESALE CT UNIT 2
NORTH FORT MYERS FL
33903-4277
US

V. Phone/Fax

Practice location:
  • Phone: 786-353-2324
  • Fax: 786-957-2915
Mailing address:
  • Phone: 786-353-2324
  • Fax: 786-957-2915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: INGRID CRUZ UGUET
Title or Position: MGR
Credential: CBHCMS
Phone: 786-353-2324