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General NPI Number Information
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NPI Number | 1194255778
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH AND ART THERAPY SERVICES LLC
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 951 NE 167TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3711
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Country | US
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Telephone | 786-333-9097
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Fax |
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Provider Business Mailing Address
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Address Line | 101 DIPLOMAT PKWY APT 2205
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-3973
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Country | US
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Telephone | 786-333-0997
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Fax |
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Authorized Official
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Title or Position | COUNSELOR, ART THERAPIST
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Name | MS. NATASHA NESIC
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Credential | LMHC, ATR
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Telephone | 786-333-9097
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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 |
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License Number State |
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