MEDICARE: REBECCA N DAVID-CUSANI LMHC

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	101YM0800X	Mental Health Counselor	MH26917	FL

General Provider Information

NPI Number	:	1922700780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA N DAVID-CUSANI LMHC

Provider Business Mailing Address
First Line	:	10765 CLEARY BLVD APT 203
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-6058
Country	:	US
Telephone Number	:	601-316-6047
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 N PARK RD STE 400
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6918
Country	:	US
Telephone Number	:	954-925-3191
Fax Number	:

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

Provider Enumeration Date	:	03/17/2023
Last Update Date	:	06/15/2026

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