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General NPI Number Information
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NPI Number | 1215695432
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Entity Type | Organization
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Legal Business Name | LIFESPRING THERAPY, PLLC
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Dates
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Enumeration Date | 12/05/2021
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 10300 49TH ST N STE 526
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City | CLEARWATER
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State | FL
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Zip | 33762-5000
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Country | US
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Telephone | 727-732-3369
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Fax |
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Provider Business Mailing Address
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Address Line | 12955 BISCAYNE BLVD STE 200
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2021
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Country | US
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Telephone | 727-732-3369
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. MARK MILLER
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Credential |
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Telephone | 727-732-3369
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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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