Provider Demographics
NPI:1033767462
Name:NEST ACADEMY & THERAPY CENTER INC.
Entity Type:Organization
Organization Name:NEST ACADEMY & THERAPY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERANES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-382-5779
Mailing Address - Street 1:13714 SW 90TH AVE APT C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-6951
Mailing Address - Country:US
Mailing Address - Phone:786-382-5779
Mailing Address - Fax:
Practice Address - Street 1:4755 SUMMERLIN RD STE 4
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-1073
Practice Address - Country:US
Practice Address - Phone:786-382-5779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health