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General NPI Number Information
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NPI Number | 1104797208
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Entity Type | Organization
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Legal Business Name | PSYCHOEDUCARE, LLC
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Dates
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Enumeration Date | 09/13/2025
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Last Update Date | 09/13/2025
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Provider Practice Location Address
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Address Line | 1583 GARDINER ST
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City | HAINES CITY
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State | FL
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Zip | 33844-9474
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Country | US
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Telephone | 352-615-4502
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 388
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City | DAVENPORT
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State | FL
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Zip | 33836-0388
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Country | US
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Telephone | 352-615-4502
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND PRESIDENT
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Name | ANAMARY CRUZ
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Credential | MSW, CCT, CTP, CGP
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Telephone | 352-615-4502
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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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