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General NPI Number Information
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NPI Number | 1124389424
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Entity Type | Organization
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Legal Business Name | THERAPY COUNSELING SERVICES, P.A.
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Dates
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Enumeration Date | 06/03/2012
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 2655 S. LEJEUNE ROAD
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City | CORAL GABLES
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State | FL
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Zip | 33134-5832
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Country | US
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Telephone | 305-993-9413
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Fax | 305-779-4974
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Provider Business Mailing Address
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Address Line | PO BOX 144456
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City | CORAL GABLES
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State | FL
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Zip | 33114-4456
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Country | US
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Telephone | 305-993-9413
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Fax | 305-779-4974
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALICIA VONSCHIRACH
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Credential | PH.D., LMHC, NCC
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Telephone | 305-993-9413
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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 | MH9154
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License Number State | FL
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