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General NPI Number Information
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NPI Number | 1093122483
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Entity Type | Organization
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Legal Business Name | LIFE TRANSFORMATION COUNSELING
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 29149 CHAPEL PARK DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-4423
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Country | US
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Telephone | 813-280-2474
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Fax | 813-341-5511
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Provider Business Mailing Address
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Address Line | 29149 CHAPEL PARK DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-4423
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Country | US
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Telephone | 813-280-2474
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Fax | 813-341-5511
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Authorized Official
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Title or Position | DIRECTOR AND HEAD COUNSELOR
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Name | MRS. NATALIE SUE WEST SOUTHWARD
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Credential |
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Telephone | 813-280-2474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | IMH 7823
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License Number State | FL
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