Provider Demographics
NPI:1588287122
Name:CAROLINA'S COMPASSIONATE COUNSELING
Entity type:Organization
Organization Name:CAROLINA'S COMPASSIONATE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:239-645-3866
Mailing Address - Street 1:11920 FAIRWAY LAKES DR STE 3
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-8368
Mailing Address - Country:US
Mailing Address - Phone:239-645-3866
Mailing Address - Fax:
Practice Address - Street 1:11920 FAIRWAY LAKES DR STE 3
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-8368
Practice Address - Country:US
Practice Address - Phone:239-645-3866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty