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General NPI Number Information
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NPI Number | 1356977078
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Entity Type | Organization
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Legal Business Name | HERZ COUNSELING GROUP, LLC
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Dates
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Enumeration Date | 03/13/2020
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 4390 N FEDERAL HWY STE 208
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-5200
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Country | US
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Telephone | 855-565-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 6721 MONTEGO BAY BLVD APT E
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City | BOCA RATON
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State | FL
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Zip | 33433-4033
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED THERAPIST
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Name | JESSICA HERZ
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Credential | LMHC
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Telephone | 252-723-8992
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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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