MEDICARE: MABEL O THACKERAY LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH 10284	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	497940	OTHER	FL	MHN

General Provider Information

NPI Number	:	1912366865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MABEL O THACKERAY LMHC

Provider Business Mailing Address
First Line	:	5374 NW 60TH DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2721
Country	:	US
Telephone Number	:	754-366-6072
Fax Number	:

Provider Business Practice Location Address
First Line	:	5374 NW 60TH DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2721
Country	:	US
Telephone Number	:	754-366-6072
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2016
Last Update Date	:	02/21/2016

Similar Medicare Providers

1891401824 — CHELSEA A LUCIEN
Practice Location Address:

3750 NW 109TH AVE
CORAL SPRINGS, FL
33065-2721

Practice Phone: 954-716-5008
Practice Fax:

1467456202 — LAURA J SIEMS MD
Practice Location Address:

3228 COLD SPRINGS RD
HUNTINGDON, PA
16652-2721

Practice Phone: 814-643-6462
Practice Fax: 814-643-0901

1831204072 — DR. RICHARD S. BUZA M.D.
Practice Location Address:

3228 COLD SPRINGS RD
HUNTINGDON, PA
16652-2721

Practice Phone: 814-643-6463
Practice Fax: 814-643-0901

1730294992 — WILLIAM L BRESSLER M.D.
Practice Location Address:

3228 COLD SPRINGS RD , COLD SPRINGS MEDICAL BUILDING
HUNTINGDON, PA
16652-2721

Practice Phone: 814-643-6241
Practice Fax: 814-643-4660

1902986219 — INT MED ASC OF HUNTINGDON PC
Practice Location Address:

3228 COLD SPRINGS RD
HUNTINGDON, PA
16652-2721

Practice Phone: 814-643-6462
Practice Fax: 814-643-0435

1407062912 — TROUGH CREEK FAMILY PRACTICE
Practice Location Address:

3228 COLD SPRINGS RD
HUNTINGDON, PA
16652-2721

Practice Phone: 814-644-0605
Practice Fax: 814-644-0637

Directions to “ MABEL O THACKERAY LMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.