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General NPI Number Information
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NPI Number | 1508285529
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Entity Type | Organization
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Legal Business Name | PATHWAYS TO MENTAL HEALTH
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Dates
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Enumeration Date | 04/08/2014
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Last Update Date | 04/08/2014
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Provider Practice Location Address
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Address Line | 777 37TH ST STE C105
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City | VERO BEACH
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State | FL
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Zip | 32960-7301
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Country | US
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Telephone | 772-260-0763
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Fax |
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Provider Business Mailing Address
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Address Line | 274 E EAU GALLIE BLVD
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-4874
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Country | US
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Telephone | 321-794-4794
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Fax |
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Authorized Official
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Title or Position | CLINICIAN
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Name | ELIZABETH H ARMS
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Credential | LMHC
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Telephone | 772-206-0763
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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 | MH9721
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License Number State | FL
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