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General NPI Number Information
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NPI Number | 1093685521
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Entity Type | Organization
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Legal Business Name | COURAGEOUS LIVING MENTAL HEALTH CONSULTANTS, LLC.
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 17595 S TAMIAMI TRL STE 224
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City | FORT MYERS
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State | FL
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Zip | 33908-4819
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Country | US
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Telephone | 239-955-4285
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Fax | 305-330-9879
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Provider Business Mailing Address
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Address Line | 6476 ESTERO BAY DR
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City | FORT MYERS
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State | FL
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Zip | 33908-5496
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Country | US
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Telephone | 239-955-4285
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Fax | 305-330-9879
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Authorized Official
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Title or Position | FOUNDER/CEO/APRN
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Name | DR. MARCELA ALVAREZ-LAZO
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Credential | DNP,APRN,PMHNP-BC
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Telephone | 305-801-0080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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