JULIETA M WENK
NPI 1164936373
Counselor - Mental Health in Fort Myers, FL
Active since November 27, 2017
About Julieta M Wenk NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIETA M WENK (NPI 1164936373) is an individual mental health provider in Fort Myers, Florida, licensed in Florida (MH15533) and active in the NPI registry since November 2017. She maintains a secondary practice location in Fort Myers.
NPPES Registry Identity
NPI1164936373
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJULIETA M WENK
Location Address12811 KENWOOD LN STE 213Fort Myers, FL 33907-5648
Mailing Address11084 River Trent CtLehigh Acres, FL 33971-3741 · (239) 826-8046
Phone(239) 537-9646
Sole ProprietorYes
Enumeration DateNovember 27, 2017
Last NPPES UpdateMay 4, 20223 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
✔ NPI 1164936373 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH15533
12811 KENWOOD LN STE 213, Fort Myers, FL 33907
Secondary Practice Location 1
Location 112535 New Brittany Blvd # 28Fort Myers, FL 33907-3625 · Phone (239) 826-8046
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Mental Health)
12811 KENWOOD LN STE 213
FORT MYERS, FL 33907
FORT MYERS, FL 33907
Counselor (Mental Health)
12811 KENWOOD LN STE 213
FORT MYERS, FL 33907
FORT MYERS, FL 33907
Social Worker (Clinical)
12811 KENWOOD LN STE 213
FORT MYERS, FL 33907
FORT MYERS, FL 33907
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164936373, enumerated as an "individual" on November 27, 2017.
The provider is located at 12811 KENWOOD LN STE 213 FORT MYERS, FL 33907 and the phone number is (239) 537-9646.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.