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General NPI Number Information
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NPI Number | 1285258152
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Entity Type | Organization
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Legal Business Name | MORNING DEW COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/05/2020
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Last Update Date | 06/05/2020
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Provider Practice Location Address
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Address Line | 214 E WASHINGTON STREET SUITE A
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City | MINNEOLA
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State | FL
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Zip | 34715-9227
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Country | US
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Telephone | 352-329-2218
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Fax |
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Provider Business Mailing Address
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Address Line | 4227 WORTHINGTON PL
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City | MASCOTTE
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State | FL
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Zip | 34753-9742
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Country | US
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Telephone | 407-538-7846
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA ORTIZ
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Credential | LMHC
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Telephone | 407-538-7846
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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 |
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License Number State |
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