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General NPI Number Information
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NPI Number | 1053191304
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Entity Type | Organization
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Legal Business Name | MEANINGFUL MOMENTS THERAPEUTIC SERVICES, LLC
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 3000 LANGLEY AVE
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City | PENSACOLA
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State | FL
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Zip | 32504-4700
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Country | US
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Telephone | 850-450-8186
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 LANGLEY AVE STE 402
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City | PENSACOLA
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State | FL
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Zip | 32504-4702
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Country | US
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Telephone | 850-450-8186
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | ERICA STEELE
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Credential | LCSW
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Telephone | 850-450-8186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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