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General NPI Number Information
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NPI Number | 1417232737
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Entity Type | Individual
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Provider Name | KATHLEEN C PRACHT PHD, NCC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1015 SIKES BLVD
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City | LAKELAND
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State | FL
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Zip | 33815-4499
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Country | US
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Telephone | 863-688-4981
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Fax |
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Provider Business Mailing Address
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Address Line | 155 S COURT AVE UNIT 1408
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City | ORLANDO
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State | FL
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Zip | 32801-3210
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Country | US
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Telephone | 352-978-2988
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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 | 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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 12660
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License Number State | FL
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