Individual
RITA W THANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 PRUDENTIAL DR STE 410, JACKSONVILLE, FL 32207-8197
(904) 376-3800
(904) 390-7401
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
(904) 376-3998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN9339312
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11009359
FL
Other
Enumeration date
05/29/2020
Last updated
09/11/2025
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