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General NPI Number Information
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NPI Number | 1649960485
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Entity Type | Individual
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Provider Name | BRYAN LLORENTE LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/12/2023
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 113 N INDIES DR
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City | DUCK KEY
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State | FL
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Zip | 33050-3701
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Country | US
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Telephone | 954-681-3265
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Fax |
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Provider Business Mailing Address
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Address Line | 1117 N ORANGE DR APT 103
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City | LOS ANGELES
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State | CA
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Zip | 90038-2338
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Country | US
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Telephone | 954-681-3265
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW21455
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCSW133872
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License Number State | CA
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