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General NPI Number Information
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NPI Number | 1659165116
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Entity Type | Organization
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Legal Business Name | A BLOUNTIFUL EXPERIENCE COUNSELING, COACHING, & CONSULTING
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 835 E PARK AVE STE B
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City | TALLAHASSEE
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State | FL
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Zip | 32301-0404
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Country | US
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Telephone | 850-212-6582
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Fax |
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Provider Business Mailing Address
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Address Line | 835 E PARK AVE STE B
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City | TALLAHASSEE
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State | FL
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Zip | 32301-0404
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Country | US
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Telephone | 850-212-6582
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | ANGELA BLOUNT
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Credential | PHD., LMHC, LPC
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Telephone | 850-212-6582
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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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