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General NPI Number Information
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NPI Number | 1043187057
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Entity Type | Organization
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Legal Business Name | ANCHORED COMPASS COUNSELING
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 1320 JERSEY AVE
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City | SAINT CLOUD
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State | FL
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Zip | 34769-4245
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Country | US
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Telephone | 727-490-8930
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Fax |
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Provider Business Mailing Address
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Address Line | 601 WYOMING AVE
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City | SAINT CLOUD
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State | FL
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Zip | 34769-3081
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IVETTE LUZ VAZQUEZ
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Credential | LMHC
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Telephone | 407-910-9749
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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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