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General NPI Number Information
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NPI Number | 1114043841
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Entity Type | Organization
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Legal Business Name | ST SIMONS COUNSELING CENTER
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 28 MIRACLE STRIP PKWY SW
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City | FORT WALTON BEACH
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State | FL
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Zip | 32548-6613
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Country | US
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Telephone | 850-244-8448
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Fax | 850-244-4888
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Provider Business Mailing Address
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Address Line | PO BOX 577
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City | FORT WALTON BEACH
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State | FL
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Zip | 32549-0577
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Country | US
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Telephone | 850-244-8448
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Fax | 850-244-4888
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | MS. CAROL MURPHY
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Credential | LMHC
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Telephone | 850-244-8448
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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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