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General NPI Number Information
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NPI Number | 1093710303
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Entity Type | Organization
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Legal Business Name | TYKES & TEENS, INC.
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 900 SE OCEAN BLVD
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City | STUART
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State | FL
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Zip | 34994-3502
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Country | US
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Telephone | 772-220-3439
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Fax | 772-220-3484
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Provider Business Mailing Address
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Address Line | 900 SE OCEAN BLVD
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City | STUART
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State | FL
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Zip | 34994-2471
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Country | US
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Telephone | 772-220-3439
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Fax | 772-220-3484
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Authorized Official
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Title or Position | BILLING & CREDENTIALING SPECIALIST
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Name | RACHEL SWEIKERT
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Credential |
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Telephone | 772-220-3439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 15-43-AD-0899-00
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License Number State | FL
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP9469081
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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