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General NPI Number Information
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NPI Number | 1063190692
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Entity Type | Individual
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Provider Name | LAUREN GULLA MS LMHC NCC CTTP-II
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Gender | Female
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 401 W COLONIAL DR STE 802
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City | ORLANDO
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State | FL
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Zip | 32804-6861
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Country | US
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Telephone | 407-205-7616
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 540056
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City | ORLANDO
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State | FL
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Zip | 32854-0056
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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 |
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Name |
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Credential |
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Telephone |
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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 | MH22444
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License Number State | FL
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