MEDICARE: WYANA CLAXTON LMFT

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	MT1688	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801964093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WYANA CLAXTON LMFT

Provider Business Mailing Address
First Line	:	2525 FLORIDA BLVD APT 133
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-4928
Country	:	US
Telephone Number	:	561-302-1820
Fax Number	:	561-272-4016

Provider Business Practice Location Address
First Line	:	2525 FLORIDA BLVD APT 133
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-4928
Country	:	US
Telephone Number	:	561-302-1820
Fax Number	:	561-272-4016

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	04/19/2026

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