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General NPI Number Information
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NPI Number | 1467333047
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Entity Type | Organization
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Legal Business Name | BLUE SKIES BRAIN HEALTH LLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 382 NE 191ST ST # 434556
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City | MIAMI
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State | FL
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Zip | 33179-3899
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Country | US
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Telephone | 727-213-2999
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Fax |
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Provider Business Mailing Address
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Address Line | 382 NE 191ST ST # 434556
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City | MIAMI
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State | FL
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Zip | 33179-3899
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Country | US
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Telephone | 727-213-2999
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | COLTON PIERCE MILLER
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Credential | LMHC
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Telephone | 484-764-0186
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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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