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General NPI Number Information
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NPI Number | 1508214461
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Entity Type | Organization
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Legal Business Name | ESSENCIALE MINDS, INC
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 9000 SHERIDAN ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-8802
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Country | US
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Telephone | 305-450-5978
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Fax | 772-777-2855
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Provider Business Mailing Address
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Address Line | 2032 NE 167TH ST #01
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3297
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Country | US
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Telephone | 305-450-5978
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Fax | 772-777-2855
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | MS. NORA ALEXANDRA CURIA
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Credential | LMHC
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Telephone | 305-450-5978
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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 | MH12289
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License Number State | FL
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