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General NPI Number Information
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NPI Number | 1437510344
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Entity Type | Organization
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Legal Business Name | JOYFUL FAMILY THERAPY, LLC
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Dates
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Enumeration Date | 03/19/2016
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 3000 ALLEGRA WAY
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City | LUTZ
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State | FL
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Zip | 33559-6997
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Country | US
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Telephone | 813-702-1762
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Fax |
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Provider Business Mailing Address
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Address Line | 26883 FIDDLEWOOD LOOP
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-3231
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Country | US
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Telephone | 813-702-1762
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ROSMER MENA
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Credential | LCSW
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Telephone | 813-702-1762
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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 | SW 12942
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License Number State | FL
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