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General NPI Number Information
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NPI Number | 1154226231
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Entity Type | Organization
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Legal Business Name | FULFILLING COUNSELING
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 3319 S STATE ROAD 7 STE 303
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City | WELLINGTON
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State | FL
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Zip | 33449-8147
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Country | US
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Telephone | 561-408-5598
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Fax | 561-437-8431
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Provider Business Mailing Address
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Address Line | 3319 S STATE ROAD 7 STE 303
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City | WELLINGTON
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State | FL
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Zip | 33449-8147
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Country | US
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Telephone | 561-408-5598
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Fax | 561-437-8431
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DIANA ROUSSO
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Credential | LMHC
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Telephone | 561-408-5598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #2
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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 | NULL
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