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General NPI Number Information
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NPI Number | 1083289391
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Entity Type | Organization
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Legal Business Name | INSIGHT 180 COUNSELING SERVICES
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 7000 WEST PALMETTO BLVD SUITE 210
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City | BOCA RATON
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State | FL
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Zip | 33433
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Country | US
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Telephone | 561-571-5486
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Fax |
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Provider Business Mailing Address
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Address Line | 8837 SW 11TH ST
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City | BOCA RATON
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State | FL
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Zip | 33433-6225
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Country | US
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Telephone | 561-571-5486
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/THERAPIST/EXECUTIVE DIRE
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Name | MR. OSTIN CELESTIN JR.
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Credential | MS
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Telephone | 561-571-5486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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