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General NPI Number Information
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NPI Number | 1659024123
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Entity Type | Organization
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Legal Business Name | REALIZE YOU THERAPY & COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 1000 BRICKELL AVE STE 715-1317
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City | MIAMI
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State | FL
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Zip | 33131-3013
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Country | US
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Telephone | 917-935-4942
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Fax | 917-900-1678
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Provider Business Mailing Address
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Address Line | 1314 E LAS OLAS BLVD # 1649
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2334
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Country | US
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Telephone | 917-935-4942
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Fax | 917-900-1678
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Authorized Official
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Title or Position | OWNER
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Name | MS. ALAYNE RICHARDSON
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Credential | LCSW
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Telephone | 954-610-2482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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