Healthcare Provider Details

I. General information

NPI: 1336043439
Provider Name (Legal Business Name): TERESA AGURS THOMAS WORKFORCE DEVELOPMENT INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2026 RIDER RAIN LN
APOPKA FL
32703-8370
US

IV. Provider business mailing address

2026 RIDER RAIN LN
APOPKA FL
32703-8370
US

V. Phone/Fax

Practice location:
  • Phone: 352-457-0344
  • Fax:
Mailing address:
  • Phone: 352-457-0344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: TERESA DANIELLE AGURS THOMAS
Title or Position: CEO FOUNDER
Credential: MS, CBHCNS
Phone: 352-457-0344