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General NPI Number Information
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NPI Number | 1265993802
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Entity Type | Individual
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Provider Name | DANNY S SPROUSE LMHC, LPC
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Gender | Male
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2040 NORTH DIXIE HWY
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City | WILTON MANORS
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State | FL
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Zip | 33305
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Country | US
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Telephone | 404-231-4431
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Fax |
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Provider Business Mailing Address
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Address Line | 2040 N DIXIE HWY
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City | WILTON MANORS
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State | FL
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Zip | 33305
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MH24944
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC004307
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License Number State | GA
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