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NPI Code Detail

MEDICARE: ITS YOUR THERAPY

MEDICARE: ITS YOUR THERAPY
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1659954238
Entity Type Code : Organization
Provider Name (Legal Business Name) : ITS YOUR THERAPY
Provider Business Mailing Address
First Line : 4421 CARAMBOLA CIR S
Second Line :
City : COCONUT CREEK
State : FL
Zip : 33066-2552
Country : US
Telephone Number : 561-899-9332
Fax Number : 561-717-1038
Provider Business Practice Location Address
First Line : 11555 HERON BAY BLVD STE 200
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-3362
Country : US
Telephone Number : 561-899-9332
Fax Number : 954-666-0440
Authorized Official
Title or Position : OWNER
Name : THERESA OLSON
Credential : LMHC
Telephone Number : 561-899-9332
Provider Enumeration Date : 05/03/2021
Last Update Date : 10/27/2025

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Directions to “ITS YOUR THERAPY ” 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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