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General NPI Number Information
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NPI Number | 1477362515
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Entity Type | Organization
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Legal Business Name | MEANINGFUL LIFE COUNSELING LLC
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 700 W 23RD ST STE C
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City | PANAMA CITY
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State | FL
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Zip | 32405-3936
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Country | US
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Telephone | 850-329-0770
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Fax |
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Provider Business Mailing Address
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Address Line | 700 W 23RD ST STE C
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City | PANAMA CITY
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State | FL
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Zip | 32405-3936
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Country | US
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Telephone | 850-329-0770
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA GAGNON
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Credential | LMHC
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Telephone | 850-774-5076
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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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