OrganizationActive
Therapy Treatment Team LLC
NPI 1053858316 · Mental Health Counselor · Fort Myers, FL
Provider details
- NPI number
- 1053858316
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Yaroslaba Garcia, Clinical Operations Director(239) 537-9646
- License
- MH11374 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12811 Kenwood Ln Ste 202
Fort Myers, FL 33907-5646
Phone: (239) 537-9646
Street-level locationGet directions
Mailing address
12811 Kenwood Ln Ste 202
Fort Myers, FL 33907-5646
Additional practice locations (1)
- 2345 Stanford Ct Ste 602202Naples, FL 34112-4874Phone: (239) 537-9646
Registry dates
- Enumerated
- 2017-01-25
- Last updated
- 2019-12-12
- Certified
- 2019-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.