Provider Demographics
NPI:1467604900
Name:TSUTSIS, ROBERT L (MA, LMHC, FL)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:L
Last Name:TSUTSIS
Suffix:
Gender:M
Credentials:MA, LMHC, FL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 SANTA MONICA AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1108
Mailing Address - Country:US
Mailing Address - Phone:561-315-2699
Mailing Address - Fax:
Practice Address - Street 1:86 SANTA MONICA AVE
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1108
Practice Address - Country:US
Practice Address - Phone:561-315-2699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 4508101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health