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General NPI Number Information
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NPI Number | 1093609976
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Entity Type | Organization
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Legal Business Name | CONVEY THERAPY INC
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 7803 LAKE WILSON RD #1107
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City | DAVENPORT
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State | FL
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Zip | 33896
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Country | US
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Telephone | 407-279-0119
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Fax | 321-449-8777
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Provider Business Mailing Address
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Address Line | 7803 LAKE WILSON RD# 1107
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City | DAVENPORT
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State | FL
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Zip | 33896
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Country | US
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Telephone | 407-279-0119
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Fax | 321-449-8777
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | JANE S HERNANDEZ
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Credential | LMHC
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Telephone | 407-279-0119
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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 |
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License Number State |
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