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General NPI Number Information
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NPI Number | 1073131827
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Entity Type | Organization
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Legal Business Name | ILISTEN, LLC
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 1576 BELLA CRUZ DRIVE SUITE 266
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City | THE VILLAGES
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State | FL
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Zip | 32159-8969
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Country | US
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Telephone | 912-483-3344
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Fax | 912-888-8786
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Provider Business Mailing Address
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Address Line | 1576 BELLA CRUZ DRIVE SUITE 266
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City | THE VILLAGES
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State | FL
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Zip | 32159-8969
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Country | US
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Telephone | 912-483-3344
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Fax | 912-888-8786
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Authorized Official
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Title or Position | MARRIAGE & FAMILY THERAPIST
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Name | DR. ROZETIA M RICHARDSON
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Credential | PHD., LMFT, CTMH
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Telephone | 912-483-3344
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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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