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General NPI Number Information
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NPI Number | 1437580792
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Entity Type | Organization
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Legal Business Name | ACCESS MENTAL SOLUTIONS, LLC.
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Dates
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Enumeration Date | 12/11/2013
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Last Update Date | 10/26/2017
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Provider Practice Location Address
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Address Line | 42 E 5TH ST
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City | HIALEAH
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State | FL
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Zip | 33010-4842
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Country | US
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Telephone | 786-401-7818
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Fax | 786-431-1065
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Provider Business Mailing Address
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Address Line | 42 E 5TH ST
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City | HIALEAH
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State | FL
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Zip | 33010-4842
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Country | US
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Telephone | 786-401-7818
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Fax | 786-431-1065
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MARIETA GARCIA DE PORTO
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Credential | L.M.H.C.
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Telephone | 786-401-7818
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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 | MH10659
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | HCC10378
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | HCC10378
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License Number State | FL
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