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General NPI Number Information
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NPI Number | 1649845983
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Entity Type | Organization
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Legal Business Name | GUIDING LIGHT MENTAL HEALTH COUNSELING, INC.
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 433 PLAZA REAL SUITE 275
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City | BOCA RATON
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State | FL
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Zip | 33432
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Country | US
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Telephone | 786-201-2768
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 SHOMA DRIVE
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33414
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Country | US
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Telephone | 786-201-2768
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | RUTH MERRY CARRASCO
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Credential | LMHC
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Telephone | 786-201-2768
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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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