Provider Demographics
NPI:1396419123
Name:JUNIS-FLORIAN, THAMOUSCA (LMHC, IMH-E)
Entity Type:Individual
Prefix:
First Name:THAMOUSCA
Middle Name:
Last Name:JUNIS-FLORIAN
Suffix:
Gender:F
Credentials:LMHC, IMH-E
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13500 SW 250TH ST # 4117
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:FL
Mailing Address - Zip Code:33092-0879
Mailing Address - Country:US
Mailing Address - Phone:954-793-1904
Mailing Address - Fax:
Practice Address - Street 1:7875 SW 104TH ST STE 101
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-2642
Practice Address - Country:US
Practice Address - Phone:305-740-8998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH19426101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health