| Organization Name: | THOMAS B. UNSWORTH P.A. |
| NPI Number: | 1033482955 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS BRANDON UNSWORTH (PRESIDENT) |
| Mailing Address: | 6269 Nw Gisela St Port Saint Lucie |
| State: | FL US |
| Postal Code: | 349863866 |
| Phone Number: | 5615412005 |
| Fax Number: | 7728792077 |
| NPI Enumeration Date: | 02/23/2012 |
| NPI Last Update Date: | 02/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH4732 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |