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General NPI Number Information
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NPI Number | 1437971090
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Entity Type | Organization
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Legal Business Name | DELANIE SUBSTANCE ABUSE COUNSELING & WELLNESS INC
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Dates
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Enumeration Date | 10/25/2024
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 501 E KENNEDY BLVD STE 1400
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City | TAMPA
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State | FL
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Zip | 33602-5246
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Country | US
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Telephone | 813-944-7976
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Fax |
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Provider Business Mailing Address
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Address Line | 501 E KENNEDY BLVD STE 1400
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City | TAMPA
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State | FL
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Zip | 33602-5246
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Country | US
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Telephone | 813-944-7976
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | TANYA DELANIE SAMUELS
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Credential | MCAP
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Telephone | 813-944-7976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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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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Taxonomy #4
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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Taxonomy #6
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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Taxonomy #7
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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