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General NPI Number Information
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NPI Number | 1326657784
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Entity Type | Organization
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Legal Business Name | ENVISION COUNSELING SOLUTIONS, LLC
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 8360 W OAKLAND PARK BLVD # 210J
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City | SUNRISE
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State | FL
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Zip | 33351-7332
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Country | US
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Telephone | 954-224-8550
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Fax |
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Provider Business Mailing Address
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Address Line | 10629 NW 12TH CT
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City | PLANTATION
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State | FL
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Zip | 33322-6979
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Country | US
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Telephone | 954-224-8550
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | ANIKA BOWEN
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Credential | LMHC
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Telephone | 954-224-8550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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