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General NPI Number Information
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NPI Number | 1073377891
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Entity Type | Organization
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Legal Business Name | SOUND MIND COUNSELING SOUTIONS, LLC
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 7552 NAVARRE PKWY UNIT 62
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City | NAVARRE
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State | FL
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Zip | 32566-7305
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Country | US
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Telephone | 850-598-6965
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Fax |
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Provider Business Mailing Address
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Address Line | 790 NAVY ST APT D
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-2193
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Country | US
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Telephone | 850-598-6965
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TRACI L. POSTON
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Credential | LMHC, MCAP
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Telephone | 850-598-6965
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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 |
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License Number State |
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