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General NPI Number Information
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NPI Number | 1114129160
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Entity Type | Organization
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Legal Business Name | WEST BROWARD COUNSELING CENTER
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 12505 ORANGE DR SUITE 907
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City | DAVIE
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State | FL
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Zip | 33330-4300
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Country | US
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Telephone | 954-358-5788
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Fax | 954-358-5790
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Provider Business Mailing Address
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Address Line | 12505 ORANGE DR SUITE 907
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City | DAVIE
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State | FL
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Zip | 33330-4300
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Country | US
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Telephone | 954-358-5788
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Fax | 954-358-5790
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHAWNDA BURNS
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Credential | LMHC, CAP
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Telephone | 954-358-5788
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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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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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