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General NPI Number Information
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NPI Number | 1417760034
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Entity Type | Organization
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Legal Business Name | SAGE COUNSELING & WELLNESS LLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 7401 WILES RD SUITE 214
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City | POMPANO BEACH
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State | FL
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Zip | 33067
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Country | US
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Telephone | 754-200-1299
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Fax | 754-484-3936
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Provider Business Mailing Address
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Address Line | 7401 WILES RD SUITE 214
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City | POMPANO BEACH
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State | FL
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Zip | 33067
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Country | US
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Telephone | 754-200-1299
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | COURTNEY L OSWALD
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Credential | LMHC
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Telephone | 754-200-1299
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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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