Maxine Rose Thall
Maxine Rose Thall is a Mental Health Counselor in Jensen Beach, Florida. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Florida.
- Years since qualifying
- 3
- Licensed in
- FL
- In the registry since
- 2026
Practice location Address checks out
3672 NW Adriatic Ln Bldg 4Jensen Beach, FL 34957-3111
Phone: (855) 299-4472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence MH26923 (FL) |
|---|
Record details
| NPI number | 1568313039 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 9, 2026 |
| Last updated in NPPES | February 9, 2026 |
| Certification date | February 9, 2026 |
| Mailing address | 3672 Nw Adriatic Ln Bldg 4, Jensen Beach, FL 34957-3111 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Jensen Beach
-
Mr. John R Whalen, MS
4091 NE Cheri Dr, Jensen Beach, FL 34957-3819 · (772) 334-8343