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General NPI Number Information
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NPI Number | 1437656543
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Entity Type | Organization
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Legal Business Name | HEALTHY BEHAVIOR SOLUTIONS, INC
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 03/04/2019
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Provider Practice Location Address
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Address Line | 9370 SUNSET DR STE A213
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 786-528-6040
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Fax |
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Provider Business Mailing Address
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Address Line | 10801 SW 75TH ST
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City | MIAMI
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State | FL
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Zip | 33173-2782
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Country | US
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Telephone | 786-201-2768
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR/PRESIDENT
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Name | MS. RUTH MERY CARRASCO
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Credential | LMHC, NCC
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Telephone | 786-528-6040
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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 | MH8531
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License Number State | FL
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