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General NPI Number Information
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NPI Number | 1083157663
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Entity Type | Organization
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Legal Business Name | LIFE SOLUTIONS COUNSELING
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 3501 W VINE ST SUITE 503
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City | KISSIMMEE
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State | FL
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Zip | 34741-4643
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Country | US
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Telephone | 407-724-9682
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Fax | 407-870-0133
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Provider Business Mailing Address
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Address Line | 3501 W VINE ST SUITE 503
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City | KISSIMMEE
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State | FL
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Zip | 34741-4643
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Country | US
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Telephone | 407-724-9682
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Fax | 407-870-0133
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MS. CHRISTINE J LEWIS
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Credential | L.M.H.C.
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Telephone | 321-746-3043
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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 | MH11032
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License Number State | FL
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