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General NPI Number Information
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NPI Number | 1639705726
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Entity Type | Organization
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Legal Business Name | HELPING HOMES COUNSELING & WELLNESS LLC
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Dates
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Enumeration Date | 03/20/2020
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 109 ROSE DR
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City | PALM COAST
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State | FL
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Zip | 32164-6934
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Country | US
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Telephone | 386-864-9551
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Fax |
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Provider Business Mailing Address
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Address Line | 109 ROSE DR
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City | PALM COAST
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State | FL
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Zip | 32164-6934
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Country | US
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Telephone | 386-864-9551
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RODERICK O'NEIL PERRY
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Credential | LMHC
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Telephone | 386-864-9551
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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 |
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License Number State |
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