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General NPI Number Information
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NPI Number | 1154937290
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Entity Type | Organization
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Legal Business Name | IN THE NAME OF CHILDREN, LLC
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 300 S PINE ISLAND RD STE 224
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City | PLANTATION
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State | FL
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Zip | 33324-2620
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Country | US
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Telephone | 754-801-9750
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Fax | 954-237-7356
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Provider Business Mailing Address
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Address Line | 300 S PINE ISLAND RD STE 224
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City | PLANTATION
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State | FL
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Zip | 33324-2620
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Country | US
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Telephone | 754-801-9750
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/LICENSED PSYCHOLOGIST
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Name | DR. STACEY NICOLE ALVIA BRODIE WALKER
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Credential | PHD
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Telephone | 754-801-9750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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