MEDICARE: COCONUT POINT COUNSELING, LLC

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1306700992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COCONUT POINT COUNSELING, LLC

Provider Business Mailing Address
First Line	:	3801 SE 10TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-5218
Country	:	US
Telephone Number	:	208-473-6382
Fax Number	:

Provider Business Practice Location Address
First Line	:	1228 SE 8TH TER STE 2
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-3210
Country	:	US
Telephone Number	:	239-249-7741
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARAH RENEE FERREIRA
Credential	:	LCSW
Telephone Number	:	208-473-6382

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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