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General NPI Number Information
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NPI Number | 1235052705
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Entity Type | Organization
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Legal Business Name | BROWN AND BLOOM COUNSELING
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 1406 SE 46TH LN STE 5
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City | CAPE CORAL
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State | FL
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Zip | 33904-8684
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Country | US
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Telephone | 239-276-9680
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Fax |
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Provider Business Mailing Address
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Address Line | 1149 SW 42ND ST
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City | CAPE CORAL
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State | FL
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Zip | 33914-5704
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Country | US
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Telephone | 239-276-9680
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | LETRECIA BROWN
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Credential | LCSW
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Telephone | 954-288-5558
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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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