person
Mrs. Susan Enns Tully, MA,LMHC
Mental Health Counselor in Melbourne, Florida
NPI 1568524999

Susan Enns Tully is a Mental Health Counselor based in Melbourne, FL and is specialized in Mental Health. Susan Enns Tully practices in Melbourne, FL and has the professional credentials of MA,LMHC. The NPI Number for Susan Enns Tully is 1568524999 and holds a License No. MH5333 (Florida).

The current practice location address for Susan Enns Tully is 3040 N Wickham Rd, Melbourne, FL and can be reached out via phone at 321-751-7000 and via fax at 321-751-7055.

Location: 3040 N Wickham Rd, Melbourne, FL, 32935-2369
person
Provider Profile Details
NPI Number
1568524999
Provider Name
Susan Enns Tully
Credential
MA,LMHC
Provider Entity Type
Individual
Gender
Female
Address
3040 N Wickham Rd, Melbourne, FL, 32935-2369
Phone Number
321-751-7000
Fax Number
321-751-7055
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3040 N Wickham Rd
City
State
Zip
32935-2369
Phone Number
321-751-7000
Fax Number
321-751-7055
person
Provider Business Mailing Address Details
Address
3040 N Wickham Rd
City
State
Zip
32935-2369
Phone Number
321-751-7000
Fax Number
321-751-7055
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH5333 (Florida)
Definition
Definition to come...
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