Eyes Wide Open LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EYES WIDE OPEN LLC

Practice address

9200 Bonita Beach Rd SE
#101
Bonita Springs, FL 34135-4280

Phone

(239) 948-9444

NPI assigned

Jul 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maria Silvia Casabianca, MHC

Title

Director

Phone

(239) 348-0808

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1336370220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 WILDWOOD LAKES BLVD APT 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045802",
            "telephone_number": "239-348-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 BONITA BEACH RD SE",
            "address_2": "#101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354280",
            "telephone_number": "239-948-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES WIDE OPEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "CASABIANCA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "SILVIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "239-348-0808",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.