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General NPI Number Information
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NPI Number | 1255949558
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Entity Type | Organization
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Legal Business Name | THERAPY TERRACE COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 7890 PETERS RD STE G107
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City | PLANTATION
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State | FL
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Zip | 33324-4028
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Country | US
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Telephone | 954-526-6678
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Fax |
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Provider Business Mailing Address
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Address Line | 1856 N NOB HILL RD # 162
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City | PLANTATION
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State | FL
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Zip | 33322-6548
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Country | US
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Telephone | 954-526-6678
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. ALINE-VANYA GUILLAUME
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Credential | LCSW
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Telephone | 954-526-6678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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