Provider Demographics
NPI:1730711714
Name:WEEKEND PSYCHRX LLC
Entity type:Organization
Organization Name:WEEKEND PSYCHRX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:844-779-2479
Mailing Address - Street 1:17940 N TAMIAMI TRL STE 110-519
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-1413
Mailing Address - Country:US
Mailing Address - Phone:844-779-2479
Mailing Address - Fax:
Practice Address - Street 1:17940 N TAMIAMI TRL STE 110-519
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-1413
Practice Address - Country:US
Practice Address - Phone:844-779-2479
Practice Address - Fax:844-779-2479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty