MEDICARE: PALM BEACH FAMILY COUNSELING, 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	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1881150407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALM BEACH FAMILY COUNSELING, LLC

Provider Business Mailing Address
First Line	:	8029 MURANO CIR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-8176
Country	:	US
Telephone Number	:	561-275-5375
Fax Number	:	561-293-8329

Provider Business Practice Location Address
First Line	:	8029 MURANO CIR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-8176
Country	:	US
Telephone Number	:	561-275-5375
Fax Number	:	561-293-8329

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANGELA CUSIMANO
Credential	:
Telephone Number	:	561-275-5375

Provider Enumeration Date	:	02/19/2019
Last Update Date	:	01/16/2026

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