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General NPI Number Information
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NPI Number | 1003392531
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Entity Type | Organization
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Legal Business Name | SEASONS OF LIFE COUNSELING, LLC
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 319 GAILE AVE
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City | TALLAHASSEE
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State | FL
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Zip | 32305-5202
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Country | US
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Telephone | 850-557-7975
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Fax | 833-975-0096
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Provider Business Mailing Address
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Address Line | 319 GAILE AVE
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City | TALLAHASSEE
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State | FL
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Zip | 32305-5202
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Country | US
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Telephone | 850-557-7975
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Fax | 833-975-0096
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHARON L MILLER
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Credential | PH.D., LMHC, LCCT
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Telephone | 850-201-7177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH13813
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License Number State | FL
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