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NPI Code Detail

MEDICARE: ANGELICA MICHELLE OLMSTEAD

MEDICARE:   ANGELICA MICHELLE OLMSTEAD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorIMH27128FL

General Provider Information

NPI Number : 1003761545
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA MICHELLE OLMSTEAD
Provider Business Mailing Address
First Line : 5015 MINA CIR APT 202
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-7821
Country : US
Telephone Number : 239-940-7025
Fax Number :
Provider Business Practice Location Address
First Line : 12620 WORLD PLAZA LN STE 1
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-3996
Country : US
Telephone Number : 239-940-7025
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ ANGELICA MICHELLE OLMSTEAD ” Practice Location

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