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General NPI Number Information
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NPI Number | 1215761754
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Entity Type | Organization
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Legal Business Name | WOLFSON WELLNESS SERVICES, LLC
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Dates
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Enumeration Date | 08/28/2024
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 7520 NW 5TH ST STE 200D
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City | PLANTATION
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State | FL
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Zip | 33317-1613
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Country | US
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Telephone | 305-318-0820
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Fax |
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Provider Business Mailing Address
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Address Line | 952 MOCKINGBIRD LN APT 607
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City | PLANTATION
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State | FL
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Zip | 33324-3443
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Country | US
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Telephone | 305-318-0820
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | AMANDA P WOLFSON
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Credential | PSYD
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Telephone | 305-318-0820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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