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General NPI Number Information
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NPI Number | 1063358109
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Entity Type | Organization
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Legal Business Name | PREMIER COUNSELING LLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 15742 MURCOTT HARVEST LOOP
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City | WINTER GARDEN
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State | FL
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Zip | 34787-3246
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Country | US
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Telephone | 321-300-6723
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Fax |
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Provider Business Mailing Address
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Address Line | 8865 COMMODITY CIR STE 14-103
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City | ORLANDO
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State | FL
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Zip | 32819-9056
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Country | US
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Telephone | 321-300-6723
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. SHIJU VARGHESE
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Credential | LMFT
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Telephone | 973-229-3503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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