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General NPI Number Information
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NPI Number | 1538407291
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Entity Type | Organization
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Legal Business Name | RESOLVE COMMUNITY COUNSELING OF COLLIER COUNTY LLC
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Dates
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Enumeration Date | 01/30/2013
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Last Update Date | 01/30/2013
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Provider Practice Location Address
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Address Line | 3050 HORSESHOE DR N SUITE 150
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City | NAPLES
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State | FL
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Zip | 34104-7911
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Country | US
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Telephone | 239-331-4774
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Fax | 239-331-4674
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Provider Business Mailing Address
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Address Line | 3050 HORSESHOE DR N SUITE 150
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City | NAPLES
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State | FL
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Zip | 34104-7911
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Country | US
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Telephone | 239-331-4774
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Fax | 239-331-4674
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | MR. JOSEPH MIRABELLA
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Credential | LMHC
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Telephone | 239-331-4774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 2011AD0820-01
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License Number State | FL
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