Provider Demographics
NPI:1407562275
Name:THURMAN, JOSSIE (MS, RMHCI)
Entity Type:Individual
Prefix:
First Name:JOSSIE
Middle Name:
Last Name:THURMAN
Suffix:
Gender:F
Credentials:MS, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 MOHAVE TER
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-7009
Mailing Address - Country:US
Mailing Address - Phone:407-455-0529
Mailing Address - Fax:
Practice Address - Street 1:3074 W LAKE MARY BLVD STE 132
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-6749
Practice Address - Country:US
Practice Address - Phone:407-333-0404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH23273101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty