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General NPI Number Information
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NPI Number | 1639317670
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Entity Type | Organization
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Legal Business Name | TRUE LIFE COUNSELING
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 7432 HIGHWAY 50 STE 109
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City | GROVELAND
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State | FL
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Zip | 34736-9322
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Country | US
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Telephone | 407-470-2195
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 682796
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City | ORLANDO
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State | FL
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Zip | 32868-2796
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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 | PROGRAM DIRECTOR
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Name | DR. RICK ADAMS
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Credential |
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Telephone | 407-470-2195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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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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