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General NPI Number Information
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NPI Number | 1528444122
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Entity Type | Organization
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Legal Business Name | DOOR OF HOPE COUNSELING, INC.
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 1035 S STATE ROAD 7 STE 315
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City | WELLINGTON
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State | FL
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Zip | 33414-6137
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Country | US
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Telephone | 561-855-0977
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 S STATE ROAD 7 STE 315
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City | WELLINGTON
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State | FL
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Zip | 33414-6137
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Country | US
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Telephone | 561-855-0977
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Fax |
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Authorized Official
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Title or Position | CLINICAL MENTAL HEALTH COUNSELOR
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Name | MARISELLE MURPHY
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Credential | LMHC
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Telephone | 561-855-0977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11714
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License Number State | FL
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