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General NPI Number Information
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NPI Number | 1437075116
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Entity Type | Organization
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Legal Business Name | THERAPEUTICALLY YOURS COUNSELING GROUP
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 7672 NW GREENSPRING ST
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34987-3051
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Country | US
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Telephone | 305-321-3598
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Fax |
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Provider Business Mailing Address
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Address Line | 738 SW 4TH ST
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City | DANIA
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State | FL
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Zip | 33004-4902
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAWANDA DAVIS
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Credential | LCSW
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Telephone | 305-321-3598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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