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General NPI Number Information
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NPI Number | 1144035817
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Entity Type | Organization
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Legal Business Name | LIFERZA COUNSELING
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 8967 WHITE SAGE LOOP
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-6408
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Country | US
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Telephone | 941-447-3583
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Fax | 941-213-8329
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Provider Business Mailing Address
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Address Line | 8967 WHITE SAGE LOOP
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-6408
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Country | US
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Telephone | 941-447-3583
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Fax | 941-213-8329
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Authorized Official
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Title or Position | CEO/PSYCHOTHERAPIST
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Name | LISSETTE FERNANDEZ
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Credential | LCSW
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Telephone | 941-350-3460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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