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General NPI Number Information
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NPI Number | 1083585756
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Entity Type | Individual
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Provider Name | MICHELLE ROBIN GOULD LMHC, NCC, BC-TMH
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Gender | Female
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 5700 LAKE WORTH RD STE 112
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City | GREENACRES
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State | FL
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Zip | 33463-3213
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Country | US
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Telephone | 561-720-4131
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Fax |
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Provider Business Mailing Address
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Address Line | 7750 OKEECHOBEE BLVD UNIT 4-45
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2104
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MH17746
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License Number State | FL
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