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General NPI Number Information
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NPI Number | 1003104308
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Entity Type | Organization
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Legal Business Name | CMET, LLC
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Dates
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Enumeration Date | 07/20/2011
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 1527 NE 4TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-1035
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Country | US
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Telephone | 954-835-5741
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Fax | 954-835-5746
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Provider Business Mailing Address
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Address Line | 1527 NE 4TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-1035
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Country | US
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Telephone | 954-835-5741
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Fax | 954-835-5746
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Authorized Official
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Title or Position | CFO / CLINICAL DIRECTOR
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Name | MRS. CARLA LOPEZ-BRINKERHOFF
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Credential | LMHC
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Telephone | 954-835-5746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH8045
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH8045
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH8045
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH8045
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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