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General NPI Number Information
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NPI Number | 1205698685
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Entity Type | Organization
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Legal Business Name | A CALM PLACE LLC
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 7901 4TH ST N STE 13137
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 352-577-8088
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 770486
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City | OCALA
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State | FL
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Zip | 34477-0486
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Country | US
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Telephone | 352-577-8088
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER/CLINICAL
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Name | MRS. MARIA VICTORIA CEVALLOS
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Credential | LCSW
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Telephone | 352-577-8088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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