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General NPI Number Information
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NPI Number | 1497527501
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Entity Type | Organization
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Legal Business Name | KINDNESS AND CLARITY COUNSELING
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 4 OFFICE PARK DR
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City | PALM COAST
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State | FL
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Zip | 32137-3855
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Country | US
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Telephone | 386-503-0522
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Fax | 386-845-9293
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Provider Business Mailing Address
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Address Line | 41 LAKE FOREST PL
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City | PALM COAST
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State | FL
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Zip | 32137-8044
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Country | US
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Telephone | 386-503-0522
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Fax | 386-845-9293
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Authorized Official
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Title or Position | AMBR
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Name | MS. DEBORAH REILLY
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Credential | LCSW
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Telephone | 386-503-0522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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