Provider Demographics
NPI:1871640177
Name:CAPE COUNSELING SERVICES OF SWFLINC
Entity Type:Organization
Organization Name:CAPE COUNSELING SERVICES OF SWFLINC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:239-772-5091
Mailing Address - Street 1:923 DEL PRADO BLVD S
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-3652
Mailing Address - Country:US
Mailing Address - Phone:239-772-5091
Mailing Address - Fax:239-772-8921
Practice Address - Street 1:923 DEL PRADO BLVD S
Practice Address - Street 2:SUITE 202
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-3652
Practice Address - Country:US
Practice Address - Phone:239-772-5091
Practice Address - Fax:239-772-8921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLMHC0256101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty