Doctor Name: | MRS. SUSANA FURNESS |
NPI Number: | 1104068600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH 5794 |
Business Practice Address: | 2001 W Blue Heron Blvd Riviera Beach, FL - 334045003 |
Business Phone Number: | 5618413500 |
Business Fax Number: | 5618413555 |
Mailing Address: | 2001 W Blue Heron Blvd, RIVIERA BEACH |
State: | FL |
Postal Code: | 334045003 |
Phone Number: | 5618413500 |
Fax Number: | 5618413555 |
NPI Enumeration Date: | 03/30/2009 |
NPI Last Update Date: | 03/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 5794 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |