MEDICARE: WORTHWHILE THERAPY LLC

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1013535624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORTHWHILE THERAPY LLC

Provider Business Mailing Address
First Line	:	PO BOX 1659
Second Line	:
City	:	EUSTIS
State	:	FL
Zip	:	32727-1659
Country	:	US
Telephone Number	:	352-217-4316
Fax Number	:

Provider Business Practice Location Address
First Line	:	851 N DONNELLY ST STE 11
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-4835
Country	:	US
Telephone Number	:	352-217-4316
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LESLIE MCKINLEY WORTH
Credential	:	LMFT
Telephone Number	:	352-217-4316

Provider Enumeration Date	:	07/09/2020
Last Update Date	:	09/06/2023

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