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General NPI Number Information
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NPI Number | 1669291233
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Entity Type | Organization
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Legal Business Name | ARISE COACHING AND THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 3930 NW 167TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33054-6240
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Country | US
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Telephone | 786-530-5410
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Fax |
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Provider Business Mailing Address
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Address Line | 3930 NW 167TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33054-6240
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Country | US
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Telephone | 786-530-5410
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Fax | 786-530-5424
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. THALIA STEVENSON
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Credential | MS
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Telephone | 786-530-5410
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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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