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General NPI Number Information
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NPI Number | 1033058748
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Entity Type | Organization
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Legal Business Name | HINES EQ BEHAVIORAL HEALTH COUNSELING & CONSULTATION SERVICES, LLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 11590 SEMINOLE BLVD STE A-05
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City | LARGO
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State | FL
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Zip | 33778-3204
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Country | US
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Telephone | 727-206-6004
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Fax | 866-877-1171
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Provider Business Mailing Address
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Address Line | 12125 83RD WAY
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City | LARGO
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State | FL
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Zip | 33773-2843
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Country | US
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Telephone | 727-206-6004
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Fax | 866-877-1171
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Authorized Official
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Title or Position | OWNER/LMHC
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Name | MANDY HINES, HINES
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Credential | LMHC
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Telephone | 727-206-6004
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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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