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General NPI Number Information
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NPI Number | 1609332402
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Entity Type | Individual
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Provider Name | RENATA HUEWITT LPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/17/2019
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 587 E SR 434 UNIT 1021B
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City | LONGWOOD
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State | FL
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Zip | 32750-5284
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Country | US
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Telephone | 407-565-7942
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Fax |
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Provider Business Mailing Address
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Address Line | 2272 WEKIVA VILLAGE LN
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City | APOPKA
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State | FL
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Zip | 32703-2511
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Country | US
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Telephone | 912-572-1602
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701008065
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License Number State | VA
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