Healthcare Provider Details

I. General information

NPI: 1457070971
Provider Name (Legal Business Name): DEBORAH RASSO COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 08/26/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12798 FOREST HILL BLVD STE 303
VLG WELLINGTN FL
33414-4704
US

IV. Provider business mailing address

700 E RAMBLING DR
WELLINGTON FL
33414-5010
US

V. Phone/Fax

Practice location:
  • Phone: 561-308-4774
  • Fax:
Mailing address:
  • Phone: 561-308-4774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBORAH L RASSO
Title or Position: OWNER
Credential: LMHC
Phone: 561-308-4774