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General NPI Number Information
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NPI Number | 1326405200
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Entity Type | Organization
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Legal Business Name | SUSTAINABLE FAMILY SERVICES LLC
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 07/14/2022
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Provider Practice Location Address
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Address Line | 8487 9TH ST N
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City | ST PETERSBURG
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State | FL
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Zip | 33702-3503
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Country | US
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Telephone | 727-318-3224
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Fax | 727-800-2333
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Provider Business Mailing Address
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Address Line | 8487 9TH ST N
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City | ST PETERSBURG
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State | FL
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Zip | 33702-3503
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Country | US
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Telephone | 980-342-2090
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Fax | 727-800-2333
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ASHLEY RHODES-COURTER
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Credential | MSW
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Telephone | 352-613-6366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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