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General NPI Number Information
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NPI Number | 1316701436
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Entity Type | Organization
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Legal Business Name | KCHM THERAPEUTIC SERVICES PLLC
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Dates
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Enumeration Date | 02/08/2024
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 14540 GREENBRIAR PL
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City | DAVIE
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State | FL
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Zip | 33325-6372
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Country | US
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Telephone | 512-729-1634
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Fax |
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Provider Business Mailing Address
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Address Line | 2114 N FLAMINGO RD # 2144
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-3501
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Country | US
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Telephone | 512-729-1634
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINA PERSHAD POWELL
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Credential | LMHC-QS, LPC, PMH-C
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Telephone | 512-729-1634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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