Doctor Name: | MR. DAVID MACPHAIL |
NPI Number: | 1083680607 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC, CAP |
License Number: | CAP2698 |
Business Practice Address: | 205 Joel Blvd #214 Lehigh Acres, FL - 339720201 |
Business Phone Number: | 2393031511 |
Business Fax Number: | 2393695044 |
Mailing Address: | 205 Joel Blvd, #214 LEHIGH ACRES |
State: | FL |
Postal Code: | 339720201 |
Phone Number: | 2393031511 |
Fax Number: | 2393695044 |
NPI Enumeration Date: | 02/24/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CAP2698 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |