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General NPI Number Information
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NPI Number | 1518849421
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Entity Type | Organization
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Legal Business Name | PSYCTRAVEL LLC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 7000 SW 62ND AVE STE 600
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4728
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Country | US
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Telephone | 305-853-6453
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Fax |
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Provider Business Mailing Address
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Address Line | 10798 SW 43RD LN
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City | MIAMI
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State | FL
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Zip | 33165-4857
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MONICA VEGA
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Credential | LMHC
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Telephone | 305-853-6453
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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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