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General NPI Number Information
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NPI Number | 1457595621
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Entity Type | Organization
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Legal Business Name | CREATIVE SOLUTIONS BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 05/01/2009
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Last Update Date | 05/01/2009
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Provider Practice Location Address
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Address Line | 94 SAN BLAS AVE
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City | KISSIMMEE
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State | FL
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Zip | 34743-6626
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Country | US
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Telephone | 321-231-4230
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Fax | 407-744-0167
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Provider Business Mailing Address
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Address Line | 94 SAN BLAS AVE
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City | KISSIMMEE
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State | FL
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Zip | 34743-6626
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Country | US
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Telephone | 321-231-4230
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Fax | 407-744-0167
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MISS SYLVIA MULTARI
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Credential | LMHC
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Telephone | 321-231-4230
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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 | MH7595
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | MH7595
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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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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