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General NPI Number Information
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NPI Number | 1023492758
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE COUNSELING AND THERAPY ,LLC
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 704 E. GRAND HWY
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City | CLERMONT
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State | FL
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Zip | 34711
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Country | US
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Telephone | 352-346-0753
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Fax | 352-708-5311
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Provider Business Mailing Address
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Address Line | 704 E. GRAND HWY
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City | CLERMONT
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State | FL
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Zip | 34711
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Country | US
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Telephone | 352-346-0753
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Fax | 352-708-5311
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Authorized Official
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Title or Position | LCSW, OWNER
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Name | CAROLE ANN BEZMEN-GOLDSTEIN
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Credential | LCSW, OWNER
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Telephone | 352-346-0753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | CSW003817
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License Number State | GA
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