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General NPI Number Information
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NPI Number | 1164872826
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Entity Type | Organization
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Legal Business Name | LIFE SOLUTIONS COUNSELING CENTER PLLC
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Dates
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Enumeration Date | 06/14/2016
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 1803 PARK CENTER DR STE 101
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City | ORLANDO
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State | FL
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Zip | 32835-6216
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Country | US
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Telephone | 813-895-8278
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Fax |
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Provider Business Mailing Address
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Address Line | 1803 PARK CENTER DR STE 101
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City | ORLANDO
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State | FL
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Zip | 32835-6216
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Country | US
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Telephone | 813-895-8278
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | REBEKAH ESGUERRA
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Credential | LMFT
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Telephone | 813-895-8278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MT2932
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License Number State | FL
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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 |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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