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General NPI Number Information
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NPI Number | 1326739780
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Entity Type | Organization
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Legal Business Name | REDEFINING SERENITY, PLLC
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 1546 SE ROYAL GREEN CIRCLE APT L102
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City | SAINT LUCIE
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State | FL
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Zip | 34952
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Country | US
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Telephone | 772-206-2933
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Fax |
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Provider Business Mailing Address
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Address Line | 11582 SW VILLAGE PKWY # 1208
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34987-2392
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Country | US
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Telephone | 772-206-2933
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Fax |
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Authorized Official
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Title or Position | OWNER/ LICENSED CLINICAL SOCIAL WOR
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Name | MS. VANESSA LEGER
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Credential | LCSW
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Telephone | 772-206-2933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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