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General NPI Number Information
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NPI Number | 1457268922
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Entity Type | Organization
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Legal Business Name | SOCIAL SKILLS TRAINING ACADEMY INC.
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 6345 BALBOA BLVD STE 163
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City | ENCINO
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State | CA
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Zip | 91316-5236
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Country | US
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Telephone | 818-351-9520
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Fax |
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Provider Business Mailing Address
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Address Line | 6345 BALBOA BLVD STE 163
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City | ENCINO
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State | CA
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Zip | 91316-5236
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Country | US
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Telephone | 818-351-9520
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. TAMMY MARIE VAN FLEET
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Credential | PHD
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Telephone | 805-506-3390
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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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