Organization Active NPI

Shalom Behavioral Wellness Center LLC.

  • Community/Behavioral Health Agency
  • Fort Myers, FL
National Provider Identifier
1518885136
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHALOM BEHAVIORAL WELLNESS CENTER LLC.
Practice address
1500 Colonial Blvd Ste 102
Fort Myers, FL 33907-1025
Phone
(786) 296-5701
NPI assigned
Jul 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Yuleysi Alvarez Gandara
Title
Owner/Administrator
Phone
(786) 296-5701

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1500 Colonial Blvd Ste 102
Fort Myers, FL 33907-1025

Mailing address

1500 Colonial Blvd Ste 102
Fort Myers, FL 33907-1025
Phone (786) 296-5701

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1518885136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 COLONIAL BLVD STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071025",
            "telephone_number": "786-296-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COLONIAL BLVD STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071025",
            "telephone_number": "786-296-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM BEHAVIORAL WELLNESS CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ GANDARA",
        "authorized_official_first_name": "YULEYSI",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "786-296-5701"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.