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General NPI Number Information
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NPI Number | 1265248298
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Entity Type | Organization
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Legal Business Name | REBRAND COUNSELING LLC
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 850-347-5127
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 8155
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 850-347-5127
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Fax |
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH COUNSELOR
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Name | BRIANNA LASHONDA ATKINS
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Credential | LMHC
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Telephone | 850-508-1242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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