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General NPI Number Information
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NPI Number | 1629323423
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Entity Type | Organization
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Legal Business Name | ENVISION COUNSELING SERVICES
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 9015 TOWN CENTER PKWY UNIT 106
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5012
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Country | US
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Telephone | 941-567-6207
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Fax | 888-769-9093
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Provider Business Mailing Address
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Address Line | 9015 TOWN CENTER PKWY UNIT 106
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5012
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Country | US
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Telephone | 941-567-6207
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Fax | 888-769-9093
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Authorized Official
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Title or Position | MGR
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Name | GINGER MARIE TALERICO
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Credential |
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Telephone | 941-567-6207
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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 | MH8857
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License Number State | FL
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