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General NPI Number Information
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NPI Number | 1598482051
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Entity Type | Organization
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Legal Business Name | AMANDA ALLISON COUNSELING LLC
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 701 SE OCEAN BLVD
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City | STUART
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State | FL
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Zip | 34994-2331
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Country | US
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Telephone | 614-233-1656
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Fax | 614-987-4031
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Provider Business Mailing Address
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Address Line | 1 SE OCEAN BLVD
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City | STUART
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State | FL
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Zip | 34994-2214
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Country | US
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Telephone | 614-233-1656
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Fax | 614-987-4031
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Authorized Official
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Title or Position | LCSW
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Name | AMANDA ALLISON
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Credential | LCSW
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Telephone | 614-233-1656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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