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General NPI Number Information
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NPI Number | 1306647136
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Entity Type | Organization
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Legal Business Name | VIRTUOSO COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 2102 S RIDGEWOOD AVE STE 13&17
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City | EDGEWATER
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State | FL
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Zip | 32141-4240
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Country | US
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Telephone | 917-509-4038
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Fax |
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Provider Business Mailing Address
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Address Line | 664 ALDENHAM LN
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City | ORMOND BEACH
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State | FL
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Zip | 32174-1019
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Country | US
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Telephone | 917-509-4038
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CARMEN MICHELE VIRTUOSO
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Credential | LCSW
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Telephone | 917-509-4038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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