SearchFloridaEmotionally Disturbed Childrens' Residential Treatment Facility

Laura Stafford, LICSW

NPI 1104050178 · on the registry since 2009 · sole proprietor

Practice

Address
12550 New Brittany Blvd
Suite 201
Fort Myers, FL 33907
Phone
(239) 343-9190
Organisation at this address
Lee Memorial Health System
Lee Memorial Health System
Jbh Behavioral Health Systems Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
51

Registry record

Primary taxonomy
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida