Kidspace Behavioral Therapy Llc - Mental Health Clinic in Fort Myers, FL

Kidspace Behavioral Therapy Llc is a mental health clinic (Community/behavioral Health) in Fort Myers, Florida. The current practice location for Kidspace Behavioral Therapy Llc is 12811 Kenwood Ln Ste 113, Fort Myers, Florida. For appointments, you can reach them via phone at (239) 205-5148. The mailing address for Kidspace Behavioral Therapy Llc is 15291 Nw 60th Ave Ste 101, Miami Lakes, Florida and phone number is (305) 527-4961.

Kidspace Behavioral Therapy Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1326785148. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (239) 205-5148.

Contact Information

Kidspace Behavioral Therapy Llc
12811 Kenwood Ln Ste 113
Fort Myers
FL 33907-5645
(239) 205-5148
Not Available

Mental Health Clinic Profile

Full NameKidspace Behavioral Therapy Llc
SpecialityCommunity/behavioral Health
Location12811 Kenwood Ln Ste 113, Fort Myers, Florida
Authorized Official Name and PositionRaul Soto (PARTNER)
Authorized Official Contact3055274961
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kidspace Behavioral Therapy Llc
15291 Nw 60th Ave Ste 101
Miami Lakes
FL 33014-2459

Ph: (305) 527-4961
Kidspace Behavioral Therapy Llc
12811 Kenwood Ln Ste 113
Fort Myers
FL 33907-5645

Ph: (239) 205-5148

NPI Details:

NPI Number1326785148
Provider Enumeration Date05/13/2022
Last Update Date09/21/2022
Certification Date09/21/2022

Medical Identifiers

Medical identifiers for Kidspace Behavioral Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326785148NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Primary

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› Verified 6 days ago

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