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General NPI Number Information
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NPI Number | 1205369493
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Entity Type | Individual
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Provider Name | BRIANA SOUCY M.ED., LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/05/2017
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 3268 EARLY RUN LANE
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City | RIVERVIEW
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State | FL
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Zip | 33578
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Country | US
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Telephone | 603-438-6309
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Fax |
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Provider Business Mailing Address
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Address Line | 13268 EARLY RUN LN
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City | RIVERVIEW
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State | FL
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Zip | 33578-3389
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Country | US
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Telephone | 603-438-6309
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4740
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MHC01653
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 97136
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH23011
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License Number State | FL
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