Healthcare Provider Details

I. General information

NPI: 1891606521
Provider Name (Legal Business Name): ALNA MAE A PROMSEEMAI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2185 AMSTEAD ST
PUNTA GORDA FL
33980-5744
US

IV. Provider business mailing address

2185 AMSTEAD ST
PUNTA GORDA FL
33980-5744
US

V. Phone/Fax

Practice location:
  • Phone: 941-625-8541
  • Fax:
Mailing address:
  • Phone: 941-625-8541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW25206
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: