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General NPI Number Information
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NPI Number | 1548181183
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Entity Type | Organization
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Legal Business Name | THERAPY AND LEARNING CONCEPTS, LLC
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 1506 OHIO AVE S
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City | LIVE OAK
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State | FL
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Zip | 32064-4545
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Country | US
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Telephone | 386-280-4814
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Fax | 386-382-4361
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Provider Business Mailing Address
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Address Line | 8805 135TH LOOP
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City | LIVE OAK
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State | FL
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Zip | 32060-6382
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Country | US
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Telephone | 386-590-0086
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Fax | 386-590-0086
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Authorized Official
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Title or Position | SCHOOL PSYCHOLOGIST/CEO
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Name | DR. TRACY L CRUTCHFIELD
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Credential | ED.D, NCSP
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Telephone | 386-590-0086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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