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General NPI Number Information
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NPI Number | 1316744246
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Entity Type | Organization
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Legal Business Name | DISTRICT COUNSELING AND DIVORCE RECOVERY L.L.C.
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 7901 4TH ST N # 25594
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 703-348-0218
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Fax |
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Provider Business Mailing Address
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Address Line | 470 2ND ST N APT B
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-3600
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | DR. AMELIA WELCH
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Credential | PH.D.
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Telephone | 703-336-7888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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