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General NPI Number Information
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NPI Number | 1366363723
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Entity Type | Organization
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Legal Business Name | THE LIVING FIG, LLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 2404 HUBBARD ST
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City | JACKSONVILLE
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State | FL
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Zip | 32206-2911
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Country | US
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Telephone | 904-549-9852
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Fax |
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Provider Business Mailing Address
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Address Line | 2404 HUBBARD ST
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City | JACKSONVILLE
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State | FL
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Zip | 32206-2911
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Country | US
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Telephone | 904-549-9852
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | RAVEN JACKSON
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Credential | LMHC
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Telephone | 904-549-9852
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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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