| Theda Sturm, LMFT | |
|
201 E Magnolia Ave, Eustis, FL 32726-3583 | |
| (352) 315-7100 | |
| (352) 360-6582 |
| Full Name | Theda Sturm |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 201 E Magnolia Ave, Eustis, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851638720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT 2744 (Florida) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Theda Sturm, LMFT 4232 Lake Eleanor Dr, Mount Dora, FL 32757-4302 Ph: (352) 315-7100 | Theda Sturm, LMFT 201 E Magnolia Ave, Eustis, FL 32726-3583 Ph: (352) 315-7100 |
Brian R Williams, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 800 S Eustis St Ste E, Eustis, FL 32726 Phone: 813-368-9154 Fax: 321-396-7574 | |
Nicole Danielle Leninsky, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1217 Huffstetler Dr, Eustis, FL 32726 Phone: 352-483-1652 | |
Tatiana Cayce, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1217 Huffstetler Rd, Eustis, FL 32726 Phone: 352-483-1652 Fax: 352-315-7587 | |
Christina Kazlauskas, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1217 Huffstetler Dr, Eustis, FL 32726 Phone: 352-483-1652 |