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General NPI Number Information
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NPI Number | 1518206341
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Entity Type | Organization
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Legal Business Name | POSITIVE START COUNSELING SERVICES, INC
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 11440 OKEECHOBEE BLVD #205B
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-8726
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Country | US
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Telephone | 954-817-5825
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Fax | 561-693-5514
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Provider Business Mailing Address
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Address Line | 11440 OKEECHOBEE BLVD #205B
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-8726
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Country | US
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Telephone | 954-817-5825
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Fax | 561-693-5514
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MICHELLE ANN FYFE
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Credential | LMHC
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Telephone | 954-817-5825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2529
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH8645
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License Number State | FL
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