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General NPI Number Information
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NPI Number | 1497294961
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Entity Type | Organization
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Legal Business Name | ORLANDO COUNSELING SERVICE
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 1817 CRESCENT BLVD
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City | ORLANDO
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State | FL
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Zip | 32817-4619
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Country | US
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Telephone | 407-808-1444
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Fax | 407-658-9057
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Provider Business Mailing Address
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Address Line | 14410 AINSDALE CT
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City | ORLANDO
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State | FL
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Zip | 32828-8038
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Country | US
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Telephone | 407-808-1444
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Fax | 407-658-9057
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH HAUGHTON
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Credential | LMHC
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Telephone | 407-808-1444
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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 | MH10398
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License Number State | FL
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