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NPI 1669309704 · live from the CMS NPI Registry

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Marriage & Family Therapist in Punta Gorda, FL. National Provider Identifier 1669309704, active.

NPI record

NPI1669309704 Type 2 · organization
StatusActive
Primary specialtyMarriage & Family Therapist 106H00000X
Practice location14984 Redbud Ln, Punta Gorda, FL 33955
Practice phone202-848-4407
Mailing address8 The Grn Ste B, Dover, DE 19901
EnumeratedMay 5, 2026
Last updatedMay 8, 2026
Authorized officialFarah Khuzouz, Marriage And Family Therapist

Taxonomies and licenses

TaxonomyCodeLicense
Marriage & Family Therapist primary106H00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.