MEDICARE: SUNSET BEHAVIORAL HEALTH 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1801669304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSET BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	12632 TAMIAMI TRL E # 1015
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34113-8451
Country	:	US
Telephone Number	:	239-790-8822
Fax Number	:	561-257-3956

Provider Business Practice Location Address
First Line	:	11900 MCGREGOR BLVD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-2545
Country	:	US
Telephone Number	:	239-790-8822
Fax Number	:	561-257-3956

Authorized Official
Title or Position	:	CEO
Name	:	MRS. LUISA CLEMENCIA GARCIA
Credential	:	APRN, NP-C, PMHNP-BC
Telephone Number	:	239-790-8822

Provider Enumeration Date	:	11/06/2023
Last Update Date	:	02/06/2026

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