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General NPI Number Information
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NPI Number | 1396585618
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Entity Type | Organization
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Legal Business Name | MIND & PURPOSE COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 05/27/2024
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Last Update Date | 05/27/2024
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Provider Practice Location Address
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Address Line | 1375 GATEWAY BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8304
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Country | US
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Telephone | 954-667-5542
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Fax |
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Provider Business Mailing Address
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Address Line | 1375 GATEWAY BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8304
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Country | US
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Telephone | 954-667-5542
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICIA JEANE TEMES
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Credential | PHD, LCSW
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Telephone | 954-667-5542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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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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