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General NPI Number Information
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NPI Number | 1073918546
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Entity Type | Organization
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Legal Business Name | NU HOPE COUNSELING, PLLC
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 4651 WANDERING WAY
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-8500
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Country | US
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Telephone | 813-907-0285
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Fax | 813-406-5158
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Provider Business Mailing Address
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Address Line | 4651 WANDERING WAY
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-8500
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Country | US
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Telephone | 813-907-0285
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Fax | 813-406-5158
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN KEITH BOLEN
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Credential | PSY. D
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Telephone | 813-907-0285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAP2482
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT2960
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH 8545
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH8545
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License Number State | FL
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