Individual provider · Type 1 NPI

Laura Ann Stafford, LICSW

Emotionally Disturbed Childrens' Residential Treatment Facility · Fort Myers, FL

NPI number 1104050178 Active

Practice location

12550 New Brittany Blvd, Suite 201
Fort Myers, FL 33907-3655

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X111844 (MA)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

25 other providers at this address

About NPI 1104050178

Laura Ann Stafford, LICSW's National Provider Identifier is 1104050178, issued on May 6, 2009. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Fort Myers, FL. The record was last updated on Apr 1, 2015.