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General NPI Number Information
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NPI Number | 1548840887
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Entity Type | Organization
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Legal Business Name | SERENITY SPRINGS COUNSELING, LLC
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 2890 GEMSTONE CIR
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City | PACE
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State | FL
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Zip | 32571-9808
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Country | US
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Telephone | 850-797-6133
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Fax |
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Provider Business Mailing Address
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Address Line | 2890 GEMSTONE CIR
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City | PACE
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State | FL
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Zip | 32571-9808
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Country | US
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Telephone | 850-797-6133
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY HUGHES
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Credential | LMHC
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Telephone | 850-797-6133
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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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Taxonomy #2
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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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