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General NPI Number Information
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NPI Number | 1497693030
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Entity Type | Organization
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Legal Business Name | MIND AND MUSCLE COUNSELING LLC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 34125 US HIGHWAY 19 N STE 200
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City | PALM HARBOR
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State | FL
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Zip | 34684-2115
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Country | US
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Telephone | 727-537-0032
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Fax |
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Provider Business Mailing Address
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Address Line | 1032 E BRANDON BLVD # 4578
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City | BRANDON
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State | FL
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Zip | 33511-5509
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Country | US
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Telephone | 727-537-0032
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. KRYSTEN HAFNER
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Credential | MS, LMHC, NCC
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Telephone | 402-740-4578
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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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