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General NPI Number Information
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NPI Number | 1194102533
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Entity Type | Organization
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Legal Business Name | CYPRESS CREEK THERAPY & RELATIONSHIP CENTER, INC
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 703 60TH STREET CT E SUITE C
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City | BRADENTON
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State | FL
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Zip | 34208-6278
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Country | US
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Telephone | 941-920-0189
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Fax | 941-747-8714
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Provider Business Mailing Address
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Address Line | 11755 SHIRBURN CIR
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City | PARRISH
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State | FL
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Zip | 34219-7508
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Country | US
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Telephone | 941-920-0189
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Fax | 941-747-8714
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Authorized Official
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Title or Position | OWNER
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Name | KAREN BERNER ARCURI
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Credential | LMHC
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Telephone | 941-920-0189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH4329
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License Number State | FL
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