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NPI 1508720186

NPI 1508720186 : CRANE BEHAVIORAL AND EXPRESSIVE THERAPY SERVICES CO. : HOMESTEAD, FL

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General NPI Number Information
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    NPI Number           |    1508720186
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    Entity Type          |    Organization 
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    Legal Business Name  |    CRANE BEHAVIORAL AND EXPRESSIVE THERAPY SERVICES CO. 
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Dates
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    Enumeration Date     |    12/09/2025
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    2147 NW 15TH PL 
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    City                 |    HOMESTEAD
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    State                |    FL
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    Zip                  |    33030-4260
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    Country              |    US
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    Telephone            |    786-617-3299
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2147 NW 15TH PL 
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    City                 |    HOMESTEAD
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    State                |    FL
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    Zip                  |    33030-4260
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    Country              |    US
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    Telephone            |    786-617-3299
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DAMARYS  CRANE 
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    Credential           |    LMHC
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    Telephone            |    786-617-3299
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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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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    225XP0019X
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    Taxonomy Name        |    Physical Rehabilitation Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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