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General NPI Number Information
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NPI Number | 1073498168
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Entity Type | Organization
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Legal Business Name | EXCELSIOR CONSULTING GROUP & SERVICES, LLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 8450 LINDEN WAY
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City | LAKE WORTH
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State | FL
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Zip | 33467-6251
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Country | US
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Telephone | 561-255-9634
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 S JOG RD UNIT 540284
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City | GREENACRES
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State | FL
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Zip | 33454-5012
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Country | US
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Telephone | 561-255-9634
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH CLINICIAN
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Name | MRS. YOLA PINETTE
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Credential | LMHC
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Telephone | 561-255-9634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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