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General NPI Number Information
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NPI Number | 1205568755
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Entity Type | Organization
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Legal Business Name | BLISSFUL PATH THERAPY SERVICES
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 666 CHASE RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-3612
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Country | US
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Telephone | 561-291-8865
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Fax |
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Provider Business Mailing Address
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Address Line | 666 CHASE RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-3612
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Country | US
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Telephone | 561-337-1227
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Fax |
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | KARIE A BLISS
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Credential | MED., LMHC
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Telephone | 561-337-1227
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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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