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General NPI Number Information
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NPI Number | 1205730132
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Entity Type | Organization
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Legal Business Name | PATHWAYS TO GRACE LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 13146 QUIET WOODS RD APT A
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City | WELLINGTON
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State | FL
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Zip | 33414-2912
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Country | US
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Telephone | 561-412-5057
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Fax |
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Provider Business Mailing Address
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Address Line | 11987 SOUTHERN BLVD UNIT 2
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-7619
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Country | US
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Telephone | 561-412-5057
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA PERVENECKI
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Credential | LMHC
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Telephone | 561-412-5057
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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 | NULL
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