Search › Florida › 1041C0700X
Theresa Boutross, LCSW, CADC
NPI 1598272585 · on the registry since 2017 · sole proprietor
Practice
- Address
- 646 Wood St
Dunedin, FL 34698 - Phone
- (312) 610-0694
Additional practice sites
- 91 Abbottsford Rd, Winnetka, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
1041C0700X
1041C0700X - Licence states on file
- ME, FL, TN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida