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General NPI Number Information
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NPI Number | 1497215388
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Entity Type | Organization
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Legal Business Name | CONSCIOUS COUNSELING, INC.
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 14201 W SUNRISE BLVD STE 208
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City | SUNRISE
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State | FL
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Zip | 33323-3207
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Country | US
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Telephone | 954-530-4348
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Fax |
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Provider Business Mailing Address
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Address Line | 718 NW 91ST TER
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City | PLANTATION
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State | FL
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Zip | 33324-1161
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Country | US
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Telephone | 954-530-4348
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Fax | 954-342-6530
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ROBIN TRAIGER
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Credential | LCSW
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Telephone | 954-530-4348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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