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General NPI Number Information
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NPI Number | 1245849421
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Entity Type | Individual
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Provider Name | BROOKE KNOWLES LPC
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Gender | Female
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Dates
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Enumeration Date | 07/23/2020
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1317 EDGEWATER DR # 379
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City | ORLANDO
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State | FL
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Zip | 32804-6350
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Country | US
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Telephone | 813-803-1718
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Fax |
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Provider Business Mailing Address
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Address Line | 1317 EDGEWATER DR # 379
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City | ORLANDO
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State | FL
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Zip | 32804-6350
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Country | US
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Telephone | 813-803-1718
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 7289
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7289
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC011279
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH15149
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMHC10000216
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License Number State | MA
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH15149
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC011279
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LMHC10000216
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License Number State | MA
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