RAINA BURLAK PA
NPI 1356853311
Counselor - Mental Health in Fort Myers, FL

Q: What is Raina Burlak PA's NPI number?

The NPI number for Raina Burlak PA is 1356853311. It was assigned to this organization in the NPPES registry on October 31, 2017.

Q: What is Raina Burlak PA's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Raina Burlak PA was last updated on October 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 31, 2017

12553 NEW BRITTANY BLVD STE 32, FORT MYERS, FL 33907(239) 689-3079(239) 313-6923 Get Directions Write a Review

NPPES record last updated: October 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Raina Burlak Pa NPPES

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

RAINA BURLAK PA (NPI 1356853311) is a healthcare organization registered as a mental health in Fort Myers, Florida and active in the NPI registry since October 2017. The organization lists Raina Rainbow Burlak, President, as its authorized official.

NPPES Registry Identity

NPI1356853311

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameRAINA BURLAK PA

Location Address12553 NEW BRITTANY BLVD STE 32Fort Myers, FL 33907-3625

Mailing Address12553 New Brittany Boulevard, Suite 32Fort Myers, FL 33907 · (239) 689-3079 · Fax (239) 313-6923

Phone(239) 689-3079

Fax(239) 313-6923

Organization SubpartNo

Authorized OfficialRaina Rainbow BurlakPresident · (239) 821-9754

Enumeration DateOctober 31, 2017

✔ NPI 1356853311 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 · MH14350

12553 NEW BRITTANY BLVD STE 32, Fort Myers, FL 33907

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MARCI WISE

Counselor (Mental Health)

12553 NEW BRITTANY BLVD STE 32
FORT MYERS, FL 33907

Lee County (239) 689-3086

KIDS ACADEMY THERAPY CENTER CORP

Behavior Analyst

12553 NEW BRITTANY BLVD STE 32
FORT MYERS, FL 33907

Lee County (239) 887-4205

LEAH CORDERO LMHC

Counselor (Mental Health)

12553 NEW BRITTANY BLVD STE 32
FORT MYERS, FL 33907

Lee County (802) 294-2615

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 Raina Burlak PA's NPI number?

The NPI number for Raina Burlak PA is 1356853311. It was assigned to this organization in the NPPES registry on October 31, 2017.

Where is Raina Burlak PA located?

Raina Burlak PA is located at 12553 New Brittany Blvd Ste 32, Fort Myers, FL 33907. The listed phone number is (239) 689-3079.

What is Raina Burlak PA's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Raina Burlak PA was last updated on October 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.