Bespoke Psychotherapy Services, P.a. - Medicare Mental Health Clinic in Fort Myers, FL

Bespoke Psychotherapy Services, P.a. is a medicare enrolled mental health clinic (Clinic/center - Adult Mental Health) in Fort Myers, Florida. The current practice location for Bespoke Psychotherapy Services, P.a. is 17595 S Tamiami Trl Ste 210, Fort Myers, Florida. For appointments, you can reach them via phone at (239) 310-2110. The mailing address for Bespoke Psychotherapy Services, P.a. is Todd A. Battles, Lmhc, 17595 South Tamiami Trail, Suite 210, Fort Myers, Florida and phone number is (239) 310-2110.

Bespoke Psychotherapy Services, P.a. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1659046852. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (239) 310-2110.

Contact Information

Bespoke Psychotherapy Services, P.a.
17595 S Tamiami Trl Ste 210
Fort Myers
FL 33908-4889
(239) 310-2110
(239) 310-2111

Mental Health Clinic Profile

Full NameBespoke Psychotherapy Services, P.a.
SpecialityClinic/Center
Location17595 S Tamiami Trl Ste 210, Fort Myers, Florida
Authorized Official Name and PositionTodd A. Battles (OWNER)
Authorized Official Contact2393102110
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bespoke Psychotherapy Services, P.a.
Todd A. Battles, Lmhc
17595 South Tamiami Trail, Suite 210
Fort Myers
FL 33908-4884

Ph: (239) 310-2110
Bespoke Psychotherapy Services, P.a.
17595 S Tamiami Trl Ste 210
Fort Myers
FL 33908-4889

Ph: (239) 310-2110

NPI Details:

NPI Number1659046852
Provider Enumeration Date08/10/2021
Last Update Date12/09/2022
Certification Date12/09/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0143678102
Medicare Enrollment IDO20231130003927

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Medical Identifiers

Medical identifiers for Bespoke Psychotherapy Services, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659046852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Primary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bespoke Psychotherapy Services, P.a. acts as a billing entity for following providers:
Provider NameTodd Battles
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1285243816
PECOS PAC ID: 1052769015
Enrollment ID: I20231130003947

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