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General NPI Number Information
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NPI Number | 1225792401
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Entity Type | Organization
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Legal Business Name | SOLRIVER COUNSELING LLC
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 1720 SE 8TH AVE
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City | CAPE CORAL
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State | FL
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Zip | 33990-2307
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Country | US
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Telephone | 754-307-6860
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Fax |
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Provider Business Mailing Address
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Address Line | 7931 EAST DR
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City | NORTH BAY VILLAGE
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State | FL
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Zip | 33141-3342
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE EDWARDS
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Credential | LMHC
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Telephone | 754-307-6860
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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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