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General NPI Number Information
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NPI Number | 1255856985
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Entity Type | Organization
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Legal Business Name | GET WELL COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/03/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1510 SAGEWOOD CT
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-1818
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Country | US
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Telephone | 470-435-1329
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Fax |
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Provider Business Mailing Address
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Address Line | 1510 SAGEWOOD CT
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-1818
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Country | US
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Telephone | 470-435-1329
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MANOUCHEKA NELSON
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Credential | N/A
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Telephone | 470-435-1329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 00000
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License Number State | FL
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