Marta C Carmona, LMHC
Psychologist in Fort Myers, FL. Individual provider (NPI-1).
NPI number1508086539
StatusActive
Last updated in NPPESApr 24, 2025
Details
- NPI
- 1508086539
- Entity type
- Individual (NPI-1)
- Name
- Ms. Marta C Carmona
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2007
- Certification date
- Apr 24, 2025
- Last updated
- Apr 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PY9001 | FL | Yes |
| 101YM0800X | Counselor, Mental Health | MH5439 | FL | |
| 103TC0700X | Psychologist, Clinical | PY9001 | FL |
Practice location
12550 New Brittany Blvd Ste 100Fort Myers, FL 33907-3655
Phone 239-343-9180 · Fax 239-343-9188
Mailing address
Po Box 2147Fort Myers, FL 33902-2147
Phone 239-343-9180 · Fax 239-343-9188
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