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General NPI Number Information
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NPI Number | 1407099526
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Entity Type | Individual
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Provider Name | ALIRIS ALICEA LMHC, CCMHC, NCC
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Gender | Female
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Dates
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Enumeration Date | 04/20/2009
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1813 VIA LAGO DR
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City | LAKELAND
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State | FL
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Zip | 33810-2418
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Country | US
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Telephone | 407-603-6460
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 1ST ST S
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City | WINTER HAVEN
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State | FL
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Zip | 33880-3904
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Country | US
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Telephone | 863-294-7062
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2133
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6810
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00837800
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License Number State | NJ
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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 | 12095
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License Number State | FL
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