{
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"OrgName": "FREEMAN CLINICAL COUNSELING CENTER",
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"FirstLineMailingAddress": "P.O. BOX 5733 FREEMAN CLINICAL COUNSELING CENTER",
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"MailingAddressCityName": "DESTIN",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32540",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "850-837-8222",
"MailingAddressFaxNumber": "850-837-8280",
"FirstLinePracticeLocationAddress": "34990 EMERALD COAST PKWY., SUITE 320",
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"PracticeLocationAddressCityName": "DESTIN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "850-837-8222",
"PracticeLocationAddressFaxNumber": "850-837-8280",
"EnumerationDate": "03/23/2008",
"LastUpdateDate": "02/22/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FREEMAN",
"AuthorizedOfficialFirstName": "TONYA",
"AuthorizedOfficialMiddleName": "KAY",
"AuthorizedOfficialTitle": "THERAPIST/OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
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"AuthorizedOfficialCredential": "LMHC",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "MH6020",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}