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General NPI Number Information
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NPI Number | 1235500547
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Entity Type | Organization
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Legal Business Name | THE BINDU INSTITUTE, LLC
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 1913 HIGHWAY 87
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City | NAVARRE
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State | FL
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Zip | 32566-1017
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Country | US
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Telephone | 850-692-9824
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Fax |
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Provider Business Mailing Address
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Address Line | 1913 HIGHWAY 87
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City | NAVARRE
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State | FL
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Zip | 32566-1017
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Country | US
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Telephone | 850-816-8122
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Fax |
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Authorized Official
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Title or Position | CEO LICENSED MENTAL HEALTH COUNSELO
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Name | MRS. TRINITY NOEL ELLIS
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Credential |
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Telephone | 850-816-8122
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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 | MH 10297
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License Number State | FL
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