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General NPI Number Information
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NPI Number | 1326535592
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Entity Type | Organization
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Legal Business Name | EMPATH COUNSELING AND COACHING, PLCC
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Dates
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Enumeration Date | 04/13/2018
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Last Update Date | 05/11/2018
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Provider Practice Location Address
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Address Line | 6936 W LINEBAUGH AVE STE 101
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City | TAMPA
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State | FL
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Zip | 33625-5829
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Country | US
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Telephone | 813-830-6900
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Fax | 813-436-3400
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Provider Business Mailing Address
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Address Line | 18865 STATE ROAD 54
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City | LUTZ
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State | FL
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Zip | 33558-8201
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Country | US
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Telephone | 813-436-3400
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Fax | 813-436-3400
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | GEMMA MARIE CUOMO KAY
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Credential | LMHC
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Telephone | 813-436-3400
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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 | MH5396
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License Number State | FL
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