Back Door, LLC
NPI #1982836391 in Cape Coral, Florida
Provider Information
- NPI Number
- 1982836391
- Entity Type
- Organization
- Organization Name
- Back Door, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 18, 2009
- Last Updated
- Nov 17, 2009
Practice Location
- Address
- 1639 CAPE CORAL PKWY E STE 211
- City
- Cape Coral
- State
- Florida
- ZIP Code
- 33904-9657
- Phone
- (239) 745-5917
Authorized Official
- Name
- CHERYL L BUSS, LCSW
- Title
- MANAGING MEMBER
- Phone
- (239) 745-5917
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Prescribing (Medical) — Prescribing (Medical) |
| Social Worker - Clinical — Clinical |
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