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General NPI Number Information
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NPI Number | 1609724954
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Entity Type | Organization
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Legal Business Name | STRIDE BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 3313 DELANA WAY
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City | FORT MYERS
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State | FL
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Zip | 33905-5742
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Country | US
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Telephone | 305-349-3508
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Fax |
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Provider Business Mailing Address
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Address Line | 3313 DELANA WAY
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City | FORT MYERS
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State | FL
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Zip | 33905-5742
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Country | US
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Telephone | 305-349-3508
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Fax |
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | FRANCISCO J LOPEZ
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Credential |
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Telephone | 305-349-3508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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