MEDICARE: THE CAVE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	106H00000X	Marriage & Family Therapist
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1649715335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CAVE

Provider Business Mailing Address
First Line	:	PO BOX 223586
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33422-3586
Country	:	US
Telephone Number	:	561-557-2741
Fax Number	:	561-469-2447

Provider Business Practice Location Address
First Line	:	4610 PORTOFINO WAY
Second Line	:	207
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-8154
Country	:	US
Telephone Number	:	561-557-2741
Fax Number	:	561-469-2447

Authorized Official
Title or Position	:	FOUNDER/VISIONARY
Name	:	TD MCNUTT
Credential	:	DR.
Telephone Number	:	561-557-2741

Provider Enumeration Date	:	01/04/2017
Last Update Date	:	01/04/2017

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Directions to “THE CAVE ” 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.

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