Elite Dna Therapy Services is a Counselor Clinic in Fort Myers, Florida. It is located at 4310 Metro Pkwy Ste 205, Fort Myers, FL and its contact number is 239-223-2751. The authorized person for Elite Dna Therapy Services is Elizabeth Dosoretz
who is President of the clinic and his/her contact number is 239-223-2751. Elite Dna Therapy Services Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Elite Dna Therapy Services Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Elite Dna Therapy Services
Specialization:
Mental Health Counselor
Clinic Address:
4310 Metro Pkwy Ste 205, Fort Myers, Florida, 33916-9416
Phone:
239-223-2751
Fax:
239-561-2933
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Elizabeth Dosoretz
Position:
President
Contact Number:
239-223-2751
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Elite Dna Therapy Services clinic are as mentioned below.
NPI Number:
1316363757
NPI Enumeration Date:
10 Mar, 2014
NPI Last Update On:
30 Sep, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elite Dna Therapy Services are as mentioned below.
Specialization
License Number
State
Status
Mental Health (Including Community Mental Health Center)
Primary
Mental Health
Secondary
Behavioral Analyst
Secondary
Clinical
Secondary
Clinical
Secondary
Addiction Medicine
Secondary
Addiction Medicine
Secondary
Clinical Neurophysiology
Secondary
Psychiatry
Secondary
Child & Adolescent Psychiatry
Secondary
Occupational Therapist
Secondary
Pediatrics
Secondary
Speech-language Pathologist
Secondary
Adolescent and Children Mental Health
Secondary
Multi-Specialty
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
010784000
Medicaid
Florida
017439500
Medicaid
Florida
010785500
Medicaid
Florida
010785506
Medicaid
Florida
022832900
Medicaid
Florida
010785504
Medicaid
Florida
010785509
Medicaid
Florida
010785508
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Elite Dna Therapy Services 4310 Metro Pkwy Ste 205, Fort Myers, Florida
Zip:
33916-9416
Phone Number:
239-223-2751
Fax Number:
239-561-2933
Patients can reach Elite Dna Therapy Services at 4310 Metro Pkwy Ste 205, Fort Myers, Florida or can call to book an appointment on 239-223-2751. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.