# MAELOUISE TENNANT, PH.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598162760
- **Authorized official:** MAELOUISE TENNANT PH.D. (FAMILY THERAPIST)
- **Authorized official phone:** (844) 796-4782

## Contact information

- **Practice address:** 210 JUPITER LAKES BLVD., BLDG. 4000, STE. 201, JUPITER, FL 33458
- **Practice address phone:** (844) 796-4782
- **Mailing address:** PO BOX 432, WEST PALM BEACH, FL 33402
- **Mailing address phone:** (844) 796-4782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MT2672 | FL | Yes |

## Other

- **Enumeration date:** 12/03/2014
- **Last updated:** 09/18/2024