MEDICARE: GAIL ANNE DOXIE LMHC

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	171W00000X	Contractor	MH11750	FL
2	101YM0800X	Mental Health Counselor	MH 11750	FL

General Provider Information

NPI Number	:	1457792327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL ANNE DOXIE LMHC

Provider Business Mailing Address
First Line	:	5821 SUNNYSIDE LN
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-2511
Country	:	US
Telephone Number	:	239-810-0636
Fax Number	:

Provider Business Practice Location Address
First Line	:	19810 GOTTARDE RD
Second Line	:
City	:	NORTH FORT MYERS
State	:	FL
Zip	:	33917-4563
Country	:	US
Telephone Number	:	239-206-3371
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2013
Last Update Date	:	11/05/2025

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