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General NPI Number Information
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NPI Number | 1558816942
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Entity Type | Organization
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Legal Business Name | ADAPTABILITY COUNSELING
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Dates
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Enumeration Date | 08/16/2016
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Last Update Date | 08/16/2016
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Provider Practice Location Address
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Address Line | 1850 LEE RD SUITE 220
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City | WINTER PARK
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State | FL
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Zip | 32789-2115
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Country | US
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Telephone | 407-325-0729
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Fax | 321-316-4863
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Provider Business Mailing Address
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Address Line | 1850 LEE RD SUITE 220 LEE WORLD CENTER
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City | WINTER PARK
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State | FL
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Zip | 32789-2115
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Country | US
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Telephone | 407-325-0729
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Fax | 321-316-4863
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | TINA P. JACK
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Credential | M.S.
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Telephone | 407-325-0729
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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 | MH8933
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License Number State | FL
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