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General NPI Number Information
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NPI Number | 1245034065
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Entity Type | Organization
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Legal Business Name | LIFE ON PURPOSE COUNSELING AND COACHING SERVICES, LLC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 96655 SWEETBRIAR LN
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City | YULEE
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State | FL
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Zip | 32097-6031
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Country | US
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Telephone | 229-977-8778
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Fax |
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Provider Business Mailing Address
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Address Line | 463688 STATE ROAD 200 STE 1-326
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City | YULEE
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State | FL
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Zip | 32097-0304
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Country | US
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Telephone | 229-977-8778
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | CIARA JENKINS
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Credential | LCSW
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Telephone | 229-977-8778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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