Provider Demographics
NPI:1801455621
Name:NANCY F. THURSTON, LCSW, PA
Entity type:Organization
Organization Name:NANCY F. THURSTON, LCSW, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:F
Authorized Official - Last Name:THURSTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, PA
Authorized Official - Phone:561-791-1888
Mailing Address - Street 1:111 LAUREL WAY
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8260
Mailing Address - Country:US
Mailing Address - Phone:561-791-1888
Mailing Address - Fax:
Practice Address - Street 1:600 SANDTREE DRIVE
Practice Address - Street 2:SUITE 210B
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33403-1538
Practice Address - Country:US
Practice Address - Phone:561-791-1888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-06
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty