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General NPI Number Information
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NPI Number | 1003358763
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Entity Type | Organization
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Legal Business Name | KEGLEY COUNSELING, LLC
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Dates
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Enumeration Date | 11/12/2016
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 3200 N FEDERAL HWY STE 206-7
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City | BOCA RATON
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State | FL
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Zip | 33431-6057
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Country | US
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Telephone | 404-496-8849
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Fax | 404-591-7909
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Provider Business Mailing Address
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Address Line | 3200 N FEDERAL HWY STE 206-7
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City | BOCA RATON
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State | FL
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Zip | 33431-6057
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Country | US
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Telephone | 404-496-8849
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Fax | 404-591-7909
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Authorized Official
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Title or Position | OWNER
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Name | MS. MICHELLE KEGLEY
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Credential | LMHC, LPC
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Telephone | 404-496-8849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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