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General NPI Number Information
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NPI Number | 1013602242
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Entity Type | Organization
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Legal Business Name | PATHOS COUNSELING AND WELLNESS LLC
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Dates
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Enumeration Date | 04/05/2023
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 8401 MAYLAND DR STE 4191
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City | RICHMOND
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State | VA
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Zip | 23294-4648
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Country | US
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Telephone | 757-667-0615
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Fax | 850-344-1312
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Provider Business Mailing Address
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Address Line | 2318 CLOUDBERRY DR
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City | GULF BREEZE
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State | FL
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Zip | 32563-9791
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Country | US
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Telephone | 434-844-1206
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | RETA SELITTO
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Credential | LPC
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Telephone | 434-844-1206
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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 |
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License Number State |
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