NPIMap

Organization Active NPI

Therapy Without Walls, LLC

  • Community/Behavioral Health Agency
  • Eustis, FL
National Provider Identifier
1982975355
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THERAPY WITHOUT WALLS, LLC
Practice address
800 S Eustis St Ste E
Eustis, FL 32726-4886
Phone
(352) 729-1860
Fax
(321) 396-7574
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tajuana Denise Rushin, M.A., LMHCNPI 1760718613
Title
Clinical Director
Phone
(407) 308-2436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

800 S Eustis St Ste E
Eustis, FL 32726-4886

Mailing address

PO Box 608896
Orlando, FL 32860-8896
Phone (352) 729-1860

National Provider Directory

National Provider Directory

Locations

800 S Eustis St
Ste E
Eustis, FL 32726
Phone (352) 729-1860

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1982975355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608896",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328608896",
            "telephone_number": "352-729-1860",
            "fax_number": "321-396-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S EUSTIS ST STE E",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264886",
            "telephone_number": "352-729-1860",
            "fax_number": "321-396-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY WITHOUT WALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "RUSHIN",
        "authorized_official_first_name": "TAJUANA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-308-2436",
        "authorized_official_credential": "M.A., LMHC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.