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General NPI Number Information
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NPI Number | 1114079605
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL COUNSELING CENTERS
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1808 ORCHID STREET
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City | SARASOTA
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State | FL
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Zip | 34239
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Country | US
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Telephone | 941-951-0548
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Fax | 941-955-6269
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Provider Business Mailing Address
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Address Line | 1808 ORCHID STREET
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City | SARASOTA
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State | FL
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Zip | 34239
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Country | US
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Telephone | 941-951-0548
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Fax | 941-955-6269
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PAUL WHITE
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Credential | LCSW
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Telephone | 941-365-4089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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