Provider Demographics
NPI:1689996605
Name:RUSHING, HARRY E (MA, LMHC)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:E
Last Name:RUSHING
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 W NEWBERRY RD
Mailing Address - Street 2:BUILDING C, SUITE IV
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2392
Mailing Address - Country:US
Mailing Address - Phone:352-380-0209
Mailing Address - Fax:352-374-4464
Practice Address - Street 1:4001 W NEWBERRY RD
Practice Address - Street 2:BUILDING C, SUITE IV
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2392
Practice Address - Country:US
Practice Address - Phone:352-380-0209
Practice Address - Fax:352-374-4464
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 1013101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ1087OtherBLUECROSS&BLUESHIELD OF FLORIDA