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General NPI Number Information
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NPI Number | 1255917274
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Entity Type | Organization
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Legal Business Name | AG COUNSELING & CONSULTING LLC
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Dates
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Enumeration Date | 03/21/2021
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Last Update Date | 03/21/2021
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Provider Practice Location Address
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Address Line | 464 JORDAN STUART CIR APT 118
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City | APOPKA
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State | FL
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Zip | 32703-2408
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Country | US
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Telephone | 321-299-8055
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Fax |
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Provider Business Mailing Address
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Address Line | 522 S HUNT CLUB BLVD # 256
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City | APOPKA
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State | FL
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Zip | 32703-4960
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Country | US
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Telephone | 321-299-8055
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. AMELIA D GILLIS
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Credential | LMHC
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Telephone | 321-299-8055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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