Kidspace Behavioral Therapy LLC
Kidspace Behavioral Therapy LLC is a Community/Behavioral Health Agency in Fort Myers, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12811 Kenwood Ln Ste 113Fort Myers, FL 33907-5645
Phone: (239) 205-5148
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1326785148 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raul Soto — Partner · (305) 527-4961 |
| NPI enumerated | May 13, 2022 |
| Last updated in NPPES | September 21, 2022 |
| Certification date | September 21, 2022 |
| Mailing address | 15291 Nw 60th Ave Ste 101, Miami Lakes, FL 33014-2459 |
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