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General NPI Number Information
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NPI Number | 1396274338
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Entity Type | Organization
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Legal Business Name | KIDS & US COUNSELING, LLC
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Dates
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Enumeration Date | 06/04/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5971 BRICK CT FL 2
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City | WINTER PARK
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State | FL
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Zip | 32792-9307
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Country | US
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Telephone | 407-901-3488
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Fax |
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Provider Business Mailing Address
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Address Line | 5971 BRICK CT FL 2
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City | WINTER PARK
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State | FL
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Zip | 32792-9307
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Country | US
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Telephone | 407-901-3488
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IVELISSA ALVAREZ
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Credential | M.ED
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Telephone | 407-901-3488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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