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General NPI Number Information
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NPI Number | 1346996477
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Entity Type | Organization
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Legal Business Name | AMD COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 02/28/2022
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 1912 HAMILTON ST STE 108
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City | JACKSONVILLE
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State | FL
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Zip | 32210-2077
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Country | US
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Telephone | 904-419-9864
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Fax | 904-212-0929
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Provider Business Mailing Address
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Address Line | 4530 SAINT JOHNS AVE STE 15-214
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City | JACKSONVILLE
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State | FL
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Zip | 32210-1852
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Country | US
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Telephone | 904-419-9864
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Fax | 904-212-0929
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Authorized Official
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Title or Position | CEO
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Name | MS. ALLISON DEMPSEY
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Credential | LMHC, BCBA
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Telephone | 904-419-9864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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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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