MEDICARE: TRUSTWORTHEY COUNSELING INC.

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1851854434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTWORTHEY COUNSELING INC.

Provider Business Mailing Address
First Line	:	124 NW 98TH TER # A
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-7014
Country	:	US
Telephone Number	:	786-367-7794
Fax Number	:

Provider Business Practice Location Address
First Line	:	5225 NW 33RD AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-6302
Country	:	US
Telephone Number	:	954-533-0585
Fax Number	:	954-530-0914

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KAREN ELIZABETH WORTHEY
Credential	:	LMHC
Telephone Number	:	813-770-6263

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	04/10/2019

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