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General NPI Number Information
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NPI Number | 1528819836
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Entity Type | Organization
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Legal Business Name | BEAUSEJOUR & ADAMS COUNSELING SERVICE
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 5044 SABLE CHIME DR
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City | WIMAUMA
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State | FL
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Zip | 33598-4171
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Country | US
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Telephone | 813-403-4417
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Fax |
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Provider Business Mailing Address
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Address Line | 5044 SABLE CHIME DR
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City | WIMAUMA
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State | FL
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Zip | 33598-4171
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Country | US
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Telephone | 813-403-4417
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | HERLENE BEAUSEJOUR-BELL
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Credential | LCSW
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Telephone | 813-403-4417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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