| Thomas B. Unsworth P.a. | |
|
6269 Nw Gisela St Port Saint Lucie FL 34986-3866 | |
| (561) 541-2005 | |
| (772) 879-2077 |
| Full Name | Thomas B. Unsworth P.a. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6269 Nw Gisela St, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Thomas Brandon Unsworth (PRESIDENT) |
| Authorized Official Contact | 5615412005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas B. Unsworth P.a. 451 Sw Bethany Dr Suite 206 Port St Lucie FL 34986-1964 Ph: (561) 541-2005 | Thomas B. Unsworth P.a. 6269 Nw Gisela St Port Saint Lucie FL 34986-3866 Ph: (561) 541-2005 |
| NPI Number | 1033482955 |
|---|---|
| Provider Enumeration Date | 02/23/2012 |
| Last Update Date | 02/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033482955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH4732 (Florida) | Primary |
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