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MAXINE RUSSELL PHD LLC
NPI 1720232804
Counselor - Mental Health in Naples, FL

Active since November 16, 2008
1415 PANTHER LN, SUITE 216, NAPLES, FL 34109(239) 591-6636(239) 591-6637 Get Directions Write a Review

NPPES record last updated: November 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maxine Russell Phd Llc NPPES

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

MAXINE RUSSELL PHD LLC (NPI 1720232804) is a healthcare organization registered as a mental health in Naples, Florida and active in the NPI registry since November 2008. The organization lists Maxine M. Russell, Mental Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1720232804
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMAXINE RUSSELL PHD LLC
Location Address1415 PANTHER LN, SUITE 216Naples, FL 34109-7874
Mailing Address1415 Panther Ln, Suite 216Naples, FL 34109-7874 · (239) 591-6636 · Fax (239) 591-6637
Phone(239) 591-6636
Fax(239) 591-6637
Organization SubpartNo
Authorized OfficialMaxine M. RussellMental Health Counselor · (239) 591-6636
Enumeration DateNovember 16, 2008
✔ NPI 1720232804 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 · MH4166
1415 PANTHER LN, Naples, FL 34109
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

FRESH START PRIVATE FLORIDA
Clinic/Center (Rehabilitation, Substance Use Disorder)
1415 PANTHER LN
NAPLES, FL 34109
Collier County (239) 591-6240
DR. STEVEN W SALDUKAS PHD
Psychologist
1415 PANTHER LN, #142
NAPLES, FL 34109
Collier County (239) 293-0230
KENT CHRISTIAN FENNER
Hearing Instrument Specialist
1415 PANTHER LN
NAPLES, FL 34109
Collier County (239) 591-6604
JAN ICE MSW LCSW P A
Social Worker (Clinical)
1415 PANTHER LN, SUITE 215
NAPLES, FL 34109
Collier County (239) 591-6626
BEHAVIORAL HEALTH SERVICES LCSW LLC
Social Worker (Clinical)
1415 PANTHER LN, UNIT 142
NAPLES, FL 34109
Collier County (239) 810-3998
COGNIZANT HEALTH LLC
Psychiatry & Neurology (Psychiatry)
1415 PANTHER LN
NAPLES, FL 34109
Collier County (239) 404-3379
RALPH S RYBACK MD LLC
Clinical Neuropsychologist
1415 PANTHER LN, STE 248
NAPLES, FL 34109
Collier County (239) 213-0012
ROYA GHADIMI, M.D., P.A.
Psychologist (Prescribing (Medical))
1415 PANTHER LN, SUITE 322
NAPLES, FL 34109
Collier County (239) 593-6120

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 Maxine Russell Phd LLC's NPI number?

The NPI number for Maxine Russell Phd LLC is 1720232804. It was assigned to this organization in the NPPES registry on November 16, 2008.

Where is Maxine Russell Phd LLC located?

Maxine Russell Phd LLC is located at 1415 Panther Ln Suite 216, Naples, FL 34109. The listed phone number is (239) 591-6636.

What is Maxine Russell Phd LLC'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 Maxine Russell Phd LLC was last updated on November 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.