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General NPI Number Information
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NPI Number | 1679142897
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Entity Type | Organization
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Legal Business Name | NEW HEIGHTS COUNSELING & CONSULTING LLC
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Dates
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Enumeration Date | 06/22/2021
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 1992 LEWIS TURNER BLVD
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-1255
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Country | US
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Telephone | 850-757-1552
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Fax | 850-757-1703
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Provider Business Mailing Address
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Address Line | 1425 HICKORY AVE
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City | NICEVILLE
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State | FL
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Zip | 32578-3222
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Country | US
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Telephone | 850-757-1552
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Fax | 850-757-1703
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Authorized Official
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Title or Position | OWNER
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Name | MRS. COLLEEN LYNN WENNER-FOY
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Credential | LMHC-S
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Telephone | 850-757-1552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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