Provider Demographics
NPI:1992240295
Name:PROGRESS COUNSELING, LLC
Entity type:Organization
Organization Name:PROGRESS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WYNN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:239-537-2236
Mailing Address - Street 1:9220 BONITA BEACH RD SE STE 200
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-4231
Mailing Address - Country:US
Mailing Address - Phone:239-537-2236
Mailing Address - Fax:239-244-9266
Practice Address - Street 1:9200 BONITA BEACH RD SE STE 212
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4279
Practice Address - Country:US
Practice Address - Phone:239-537-2236
Practice Address - Fax:239-244-9266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-22
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10531101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty