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General NPI Number Information
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NPI Number | 1588933477
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Entity Type | Individual
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Provider Name | DESIREE COA MEATON-FRANCISCO LMHC MH12373
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Gender | Female
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 348 W HIGHLAND DR
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City | LAKELAND
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State | FL
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Zip | 33813-1543
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Country | US
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Telephone | 863-608-7778
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Fax | 863-608-7779
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Provider Business Mailing Address
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Address Line | 4422 E COLUMBUS DR
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City | TAMPA
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State | FL
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Zip | 33605-3233
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Country | US
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Telephone | 813-413-4127
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Fax | 813-623-2853
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MH12373
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 4748
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License Number State | FL
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