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General NPI Number Information
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NPI Number | 1417396805
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Entity Type | Individual
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Provider Name | ELYCE M GARCEAU EDS, LMHC
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Gender | Female
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Dates
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Enumeration Date | 06/18/2013
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 4301 N FEDERAL HWY SUITE 2 SOUTH
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City | POMPANO BEACH
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State | FL
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Zip | 33064-6519
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Country | US
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Telephone | 888-880-9270
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Fax | 954-342-0273
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Provider Business Mailing Address
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Address Line | 5523 AUTUMN RIDGE RD APT 302
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City | LAKELAND
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State | FL
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Zip | 33805-2761
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Country | US
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Telephone | 917-576-9134
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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 | MH25015
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License Number State | FL
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