KEITH A STAPLE
NPI 1073955035
Counselor in Fort Myers, FL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since July 19, 2013

3763 EVANS AVE, FORT MYERS, FL 33901(239) 931-9812 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Keith A Staple NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH A STAPLE (NPI 1073955035) is an individual counselor in Fort Myers, Florida and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1073955035

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameKEITH A STAPLE

Location Address3763 EVANS AVEFort Myers, FL 33901-9302

Mailing Address3763 Evans AveFort Myers, FL 33901 · (239) 931-9812

Phone(239) 931-9812

Sole ProprietorNo

Enumeration DateJuly 19, 2013

✔ NPI 1073955035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3763 EVANS AVE, Fort Myers, FL 33901

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