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General NPI Number Information
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NPI Number | 1356153019
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Entity Type | Organization
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Legal Business Name | JUST BREATHE COUNSELING LLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 9770 BAYMEADOWS RD STE 133
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7986
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Country | US
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Telephone | 904-689-2162
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Fax |
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Provider Business Mailing Address
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Address Line | 4025 LONICERA LOOP
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City | ST JOHNS
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State | FL
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Zip | 32259-4533
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Country | US
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Telephone | 904-689-2162
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARY TAYLOR
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Credential | LMHC
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Telephone | 904-689-2162
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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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