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General NPI Number Information
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NPI Number | 1295714509
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR HUMAN POTENTIAL, INC
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 19501 NE 10TH AVE SUITE 305
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-3576
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Country | US
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Telephone | 305-653-1716
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Fax | 305-653-7040
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Provider Business Mailing Address
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Address Line | 19501 NE 10TH AVE SUITE 305
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-3576
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Country | US
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Telephone | 305-653-1716
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Fax | 305-653-7040
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBORAH SALAND
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Credential | PSYD, LCSW
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Telephone | 305-653-1716
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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 | FL MH 6594
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 3887
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License Number State | FL
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