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General NPI Number Information
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NPI Number | 1093527137
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Entity Type | Organization
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Legal Business Name | LEADEQ CHRISTIAN COUNSELING, LLC
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 2575 SAGE CREEK PL
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City | APOPKA
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State | FL
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Zip | 32712-6446
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Country | US
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Telephone | 689-247-3806
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 144
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City | PLYMOUTH
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State | FL
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Zip | 32768-0144
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Country | US
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Telephone | 689-247-3806
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | TAMARA PATTERSON
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Credential |
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Telephone | 689-247-3806
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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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