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General NPI Number Information
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NPI Number | 1295540110
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL COUNSELING OF FLORIDA, LLC
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 102 S RIDGEWOOD DR STE 7
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City | SEBRING
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State | FL
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Zip | 33870-3300
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Country | US
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Telephone | 863-359-9539
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Fax |
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Provider Business Mailing Address
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Address Line | 119 HEATHER LN
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City | LAKE PLACID
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State | FL
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Zip | 33852-6167
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Country | US
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Telephone | 863-840-3350
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | MS. ANDEA MARIE PETROVICH
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Credential | LMHC-S
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Telephone | 963-359-9539
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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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