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General NPI Number Information
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NPI Number | 1669912408
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Entity Type | Organization
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Legal Business Name | FLORIDA CHRISTIAN COUNSELING SERVICES
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 2451 N MCMULLEN BOOTH RD SUITE 264
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City | CLEARWATER
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State | FL
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Zip | 33759-1356
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Country | US
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Telephone | 727-709-0921
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Fax |
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Provider Business Mailing Address
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Address Line | 9753 51ST AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33708-3637
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LMHC/OWNER
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Name | RONALD BELL
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Credential |
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Telephone | 727-709-0921
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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 | MH14224
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License Number State | FL
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