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General NPI Number Information
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NPI Number | 1588341754
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Entity Type | Organization
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Legal Business Name | KO COUNSELING LLC
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 4745 OLD ROAD 37
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City | LAKELAND
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State | FL
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Zip | 33813-2031
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Country | US
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Telephone | 863-450-3997
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Fax |
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Provider Business Mailing Address
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Address Line | 4745 OLD ROAD 37
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City | LAKELAND
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State | FL
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Zip | 33813-2031
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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 | OWNER
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Name | KATHRYN HAYES
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Credential | LMHC
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Telephone | 863-450-3997
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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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