| Its Your Therapy | |
|
11555 Heron Bay Blvd Ste 200 Coral Springs FL 33076-3362 | |
| (561) 899-9332 | |
| (954) 666-0440 |
| Full Name | Its Your Therapy |
|---|---|
| Speciality | Counselor |
| Location | 11555 Heron Bay Blvd Ste 200, Coral Springs, Florida |
| Authorized Official Name and Position | Theresa Olson (OWNER) |
| Authorized Official Contact | 5618999332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Its Your Therapy 2901 N Rock Island Rd Apt 207 Margate FL 33063-8184 Ph: (561) 899-9332 | Its Your Therapy 11555 Heron Bay Blvd Ste 200 Coral Springs FL 33076-3362 Ph: (561) 899-9332 |
| NPI Number | 1659954238 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Medicare PECOS PAC ID | 7113368358 |
|---|---|
| Medicare Enrollment ID | O20240517003516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659954238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Theresa Olson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679021133 PECOS PAC ID: 8022459262 Enrollment ID: I20240517003602 |
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