DNA COMPREHENSIVE THERAPY SERVICES, LLC — NPI 1316363757 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in FORT MYERS, FL)

CMS-1500 Box 24J / 33a • NPI

1316363757

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM0801X (CMS B4[14])

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

4310 METRO PKWY STE 205, FORT MYERS, FL, 33916-9416

✓ 9-Digit EDI 837 ZIP+4 (33916-9416)

Practice Phone & Referral Fax

(239) 223-2751

Fax: (239) 561-2933

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1316363757 (DNA COMPREHENSIVE THERAPY SERVICES, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1316363757` (NPI-2 Organization / Facility)
Provider / Legal Name	DNA COMPREHENSIVE THERAPY SERVICES, LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM0801X` (Clinic/Center, Mental Health (Including Community Mental Health Center))
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	4310 METRO PKWY STE 205, FORT MYERS, FL, 33916-9416
Practice Telephone / Fax	Tel: (239) 223-2751 \| Fax: (239) 561-2933
Administrative Mailing Address	4310 METRO PKWY STE 205, FORT MYERS, FL, 33916-9416
Enumeration & Last Sync	Enumerated: 2014-03-10 \| CMS Record Updated: 2025-06-05
Authorized Official	ELIZABETH DOSORETZ (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4310 METRO PKWY STE 205, FORT MYERS, FL, 33916-9416

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Plain-English Taxonomy & CMS Crosswalk (261QM0801X)

What Does Taxonomy Code 261QM0801X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0801X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Community Mental Health Center)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DNA COMPREHENSIVE THERAPY SERVICES, LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Secondary
`2084P0804X` — Psychiatry & Neurology, Child & Adolescent Psychiatry Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`103K00000X` — Behavior Analyst Plain English: Licensed & Credentialed Behavior Analyst	State: N/A \| License: `Verified` \| Primary: Secondary
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: N/A \| License: `Verified` \| Primary: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: N/A \| License: `Verified` \| Primary: Secondary
`207QA0401X` — Family Medicine, Addiction Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`2084A0401X` — Psychiatry & Neurology, Addiction Medicine Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`2084N0600X` — Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`2084P0800X` — Psychiatry & Neurology, Psychiatry Plain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`225X00000X` — Occupational Therapist Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM1300X` — Clinic/Center, Multi-Specialty Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`225XP0200X` — Occupational Therapist, Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: `Verified` \| Primary: Secondary
`235Z00000X` — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0855X` — Clinic/Center, Adolescent and Children Mental Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0801X` — Clinic/Center, Mental Health (Including Community Mental Health Center) Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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DNA COMPREHENSIVE THERAPY SERVICES, LLC (NPI #1316363757)