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General NPI Number Information
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NPI Number | 1437837408
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Entity Type | Organization
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Legal Business Name | SMR MENTAL HEALTH COUNSELING LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 261 N UNIVERSITY DR STE 500
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City | PLANTATION
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State | FL
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Zip | 33324-2009
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Country | US
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Telephone | 754-222-2914
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Fax | 754-484-3917
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Provider Business Mailing Address
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Address Line | 261 N UNIVERSITY DR STE 500
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City | PLANTATION
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State | FL
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Zip | 33324-2009
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Country | US
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Telephone | 754-222-2914
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Fax | 754-484-3917
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Authorized Official
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Title or Position | LICENSED PSYCHOTHERAPIST/OWNER
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Name | STEPHANIE MARIA RIOS
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Credential | L.M.H.C., Q.S.
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Telephone | 754-222-2914
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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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