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MRS. LAURA ANN STAFFORD LICSW
NPI 1104050178
Residential Treatment Facility, Emotionally Disturbed Children in Fort Myers, FL

Active since May 06, 2009
12550 NEW BRITTANY BLVD, SUITE 201, FORT MYERS, FL 33907(239) 343-9190 Get Directions Write a Review

NPPES record last updated: April 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Laura Ann Stafford Licsw NPPES

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

MRS. LAURA ANN STAFFORD LICSW (NPI 1104050178) is an individual residential treatment facility, emotionally disturbed children provider in Fort Myers, Florida, licensed in Massachusetts (111844) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1104050178
Entity TypeIndividualFemale
Primary Taxonomy322D00000X
Provider Legal NameMRS. LAURA ANN STAFFORDCredential: LICSW
Location Address12550 NEW BRITTANY BLVD, SUITE 201Fort Myers, FL 33907-3655
Mailing Address12550 New Brittany Blvd, Suite 201Fort Myers, FL 33907-3655 · (239) 343-9190
Phone(239) 343-9190
Sole ProprietorYes
Enumeration DateMay 6, 2009
Last NPPES UpdateApril 1, 2015
✔ NPI 1104050178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in MA · 111844
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
12550 NEW BRITTANY BLVD, Fort Myers, FL 33907
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAWN MARIE PICOTTE MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
12550 NEW BRITTANY BLVD, SUITE 201
FORT MYERS, FL 33907
Lee County (239) 343-9190
LYNN MARY GELLERMAN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
12550 NEW BRITTANY BLVD, SUITE 200
FORT MYERS, FL 33907
Lee County (239) 936-1114
AMANDA M ORTT LCSW
Counselor (Mental Health)
12550 NEW BRITTANY BLVD
FORT MYERS, FL 33907
Lee County (239) 343-9180
MS. KATHLEEN ANDREA MCCARVELL APRN
Nurse Practitioner
12550 NEW BRITTANY BLVD
FORT MYERS, FL 33907
Lee County (239) 936-1114
MRS. ANNETTE D MCCLENAHAN RN BSN
Registered Nurse (Diabetes Educator)
12550 NEW BRITTANY BLVD
FORT MYERS, FL 33907
Lee County (239) 424-3120
MRS. NICHOLE IONE BALT BA
Counselor (Mental Health)
12550 NEW BRITTANY BLVD, STE 200
FORT MYERS, FL 33907
Lee County (239) 936-1114
MRS. JENNIFER L ALVARO LCSW
Social Worker (Clinical)
12550 NEW BRITTANY BLVD, SUITE 100
FORT MYERS, FL 33907
Lee County (239) 343-9180
JULIE CATHERINE HILL R.D.
Dietitian, Registered
12550 NEW BRITTANY BLVD, SUITE 200
FORT MYERS, FL 33907
Lee County (239) 424-3120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Stafford's NPI number?

The NPI number for Laura Stafford is 1104050178. It was assigned to this individual provider in the NPPES registry on May 6, 2009.

Where is Laura Stafford located?

Laura Stafford practices at 12550 New Brittany Blvd Suite 201, Fort Myers, FL 33907. The listed phone number is (239) 343-9190.

What is Laura Stafford's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Laura Stafford was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.