LEEANNA MANTICA
NPI 1831640895
Counselor - Mental Health in Fort Myers, FL
Active since October 14, 2016
About Leeanna Mantica NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEEANNA MANTICA (NPI 1831640895) is an individual mental health provider in Fort Myers, Florida, licensed in Florida (IMH 13942) and active in the NPI registry since October 2016.
NPPES Registry Identity
NPI1831640895
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLEEANNA MANTICA
Location Address3820 COLONIAL BLVD, SUITE 102Fort Myers, FL 33966-1094
Mailing Address10841 Highland AveFort Myers, FL 33966-1124 · (904) 612-6951
Phone(239) 208-9449
Sole ProprietorYes
Enumeration DateOctober 14, 2016
✔ NPI 1831640895 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 · IMH 13942
3820 COLONIAL BLVD, Fort Myers, FL 33966
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Physical Therapist
3820 COLONIAL BLVD, SUITE 103
FORT MYERS, FL 33966
FORT MYERS, FL 33966
Counselor (Mental Health)
3820 COLONIAL BLVD, SUITE 102
FORT MYERS, FL 33966
FORT MYERS, FL 33966
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831640895, enumerated as an "individual" on October 14, 2016.
The provider is located at 3820 COLONIAL BLVD SUITE 102 FORT MYERS, FL 33966 and the phone number is (239) 208-9449.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
