Provider Demographics
NPI:1033512850
Name:SPECTRUM RECOVERY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SPECTRUM RECOVERY SOLUTIONS, LLC
Other - Org Name:SPECTRUM RECOVERY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:239-738-5569
Mailing Address - Street 1:9180 ESTERO PARK COMMONS BLVD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-3218
Mailing Address - Country:US
Mailing Address - Phone:239-595-3022
Mailing Address - Fax:239-244-8404
Practice Address - Street 1:9410 CORKSCREW PALMS CIRCLE
Practice Address - Street 2:SUITE 202
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928
Practice Address - Country:US
Practice Address - Phone:239-595-3022
Practice Address - Fax:239-244-8404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11239101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty