Organization
THERAPY WITHOUT WALLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAJUANA DENISE RUSHIN M.A., LMHC (CLINICAL DIRECTOR)
(407) 308-2436
Entity
Organization
Contact information
Practice address
800 S EUSTIS ST STE E, EUSTIS, FL 32726-4886
(352) 729-1860
(321) 396-7574
Mailing address
PO BOX 608896, ORLANDO, FL 32860-8896
(352) 729-1860
(321) 396-7574
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
07/05/2013
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