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General NPI Number Information
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NPI Number | 1104175843
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Entity Type | Organization
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Legal Business Name | COUNSELING SERVICES ASSOCIATES, L.L.C.
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 09/07/2012
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Provider Practice Location Address
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Address Line | 660 LINTON BLVD. SUITE 206-F
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City | DELRAY BEACH
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State | FL
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Zip | 33444
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Country | US
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Telephone | 561-272-8880
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Fax | 561-272-9330
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Provider Business Mailing Address
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Address Line | 660 LINTON BLVD. SUITE 206-F
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City | DELRAY BEACH
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State | FL
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Zip | 33444
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Country | US
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Telephone | 561-272-8880
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Fax | 561-272-9330
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | KIM SCHEFT SCHEFT
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Credential | L.M.H.C.
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Telephone | 561-272-8880
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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 | MH3722
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License Number State | FL
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