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General NPI Number Information
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NPI Number | 1346930864
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Entity Type | Organization
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Legal Business Name | 3I COUNSELING GROUP, LLC
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Dates
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Enumeration Date | 05/09/2023
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 2900 E OAKLAND PARK BLVD FL 3
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1804
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Country | US
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Telephone | 954-361-5470
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Fax |
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Provider Business Mailing Address
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Address Line | 457 VISTA ISLES DR APT 2121
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City | PLANTATION
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State | FL
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Zip | 33325-6156
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Country | US
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Telephone | 954-361-5470
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | KELSIE BAGGS
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Credential |
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Telephone | 549-361-5470
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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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