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General NPI Number Information
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NPI Number | 1174851802
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Entity Type | Organization
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Legal Business Name | PSYCHOTHERAPY SOLUTIONS, INC.
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 06/19/2011
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Provider Practice Location Address
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Address Line | 7550 SW 57TH AVE STE 112
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5331
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Country | US
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Telephone | 305-669-3835
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Fax | 305-669-3875
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Provider Business Mailing Address
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Address Line | 9055 SW 73RD CT APT 1003
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City | MIAMI
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State | FL
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Zip | 33156-2952
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Country | US
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Telephone | 305-669-3835
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Fax | 305-669-3875
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Authorized Official
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Title or Position | LCSW/PRESIDENT
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Name | MS. NORYS T FERNANDEZ
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Credential | LCSW, DCSW,SAP,NBCCH
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Telephone | 305-669-3835
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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 | SW 9371
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License Number State | FL
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