Provider Demographics
NPI:1457108110
Name:KRAUS, TIMOTHY S (MS LMFT)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:S
Last Name:KRAUS
Suffix:
Gender:M
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10051 COUNTRY RD BLDG C
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-5264
Mailing Address - Country:US
Mailing Address - Phone:352-238-8115
Mailing Address - Fax:
Practice Address - Street 1:10051 COUNTRY RD BLDG C
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613-5264
Practice Address - Country:US
Practice Address - Phone:352-238-8115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-01
Last Update Date:2024-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4903106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist