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General NPI Number Information
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NPI Number | 1194869669
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Entity Type | Organization
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Legal Business Name | UNIVERSAL COUNSELING & ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/17/2007
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 10031 PINES BLVD STE 249
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6180
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Country | US
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Telephone | 305-318-5243
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Fax | 954-435-2980
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Provider Business Mailing Address
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Address Line | PO BOX 260906
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-7906
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Country | US
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Telephone | 305-318-5243
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Fax | 954-435-2980
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | MS. LIZETTE WILLIAMS
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Credential |
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Telephone | 305-318-5243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT1790
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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 | MH5897
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License Number State | FL
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