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General NPI Number Information
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NPI Number | 1245894542
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Entity Type | Organization
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Legal Business Name | STARTING POINTE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1125 NW VIVALDI CT
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-4381
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Country | US
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Telephone | 772-224-3235
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Fax | 772-872-5340
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Provider Business Mailing Address
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Address Line | 1125 NW VIVALDI CT
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-4381
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Country | US
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Telephone | 772-224-3235
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Fax | 772-872-5340
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Authorized Official
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Title or Position | OWNER/CLINICAL THERAPIST
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Name | MONTIGUS JACKSON
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Credential |
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Telephone | 772-224-3235
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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 |
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License Number State |
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