Healthcare Provider Details

I. General information

NPI: 1801455621
Provider Name (Legal Business Name): NANCY F. THURSTON, LCSW, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 ROYAL PALM BEACH BLVD STE 400A
ROYAL PALM BEACH FL
33411-1692
US

IV. Provider business mailing address

111 LAUREL WAY
ROYAL PALM BEACH FL
33411-8260
US

V. Phone/Fax

Practice location:
  • Phone: 561-791-1888
  • Fax:
Mailing address:
  • Phone: 561-791-1888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. NANCY F. THURSTON
Title or Position: OWNER
Credential: LCSW, PA
Phone: 561-791-1888