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General NPI Number Information
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NPI Number | 1295369635
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Entity Type | Organization
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Legal Business Name | ANGELES COMMUNITY MENTAL HEALTH, LLC.
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 13013 W LINEBAUGH AVE
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City | TAMPA
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State | FL
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Zip | 33626-4451
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Country | US
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Telephone | 813-475-6755
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Fax | 855-719-2545
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Provider Business Mailing Address
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Address Line | 13013 W LINEBAUGH AVE
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City | TAMPA
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State | FL
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Zip | 33626-4451
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Country | US
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Telephone | 813-475-6755
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Fax | 855-719-2545
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Authorized Official
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Title or Position | OWNER/CEO
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Name | LISBEL NOY
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Credential |
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Telephone | 813-442-8336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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