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General NPI Number Information
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NPI Number | 1467804500
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Entity Type | Organization
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Legal Business Name | DESIGNING SUCCESS LIFE COACHING & COUNSELINNG
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 4144 N ARMENIA AVE SUITE 350
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City | TAMPA
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State | FL
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Zip | 33607-6400
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Country | US
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Telephone | 813-501-2226
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Fax |
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Provider Business Mailing Address
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Address Line | 4144 N. ARMENIA AVENUE SUITE 350
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City | TAMPA
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State | FL
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Zip | 33607
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Country | US
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Telephone | 813-501-2226
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FELICIA ALPHONSE
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Credential |
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Telephone | 813-501-2226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | IMH10997
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH10997
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | IMH10997
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | IMH10997
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License Number State | FL
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