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General NPI Number Information
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NPI Number | 1538785845
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Entity Type | Organization
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Legal Business Name | SOUTO COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 06/23/2020
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Provider Practice Location Address
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Address Line | 399 W PALMETTO PARK RD STE 106
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City | BOCA RATON
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State | FL
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Zip | 33432-3760
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Country | US
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Telephone | 954-732-4804
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 NE 31ST AVE
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City | LIGHTHOUSE POINT
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State | FL
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Zip | 33064-8438
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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/FOUNDER
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Name | PRISCILLA SOUTO
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Credential | LMHC
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Telephone | 954-732-4804
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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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