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General NPI Number Information
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NPI Number | 1679788210
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Entity Type | Organization
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Legal Business Name | CYNTHIA A. KALEITA, LMHC, LLC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 195 WEKIVA SPRINGS RD SUITE 300(B)
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City | LONGWOOD
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State | FL
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Zip | 32779-6199
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Country | US
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Telephone | 407-342-6288
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Fax |
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Provider Business Mailing Address
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Address Line | 215 N EOLA DR C/O GARY M. KALEITA, ESQUIRE, LDDK&R, P.A.
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City | ORLANDO
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State | FL
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Zip | 32801-2028
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Country | US
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Telephone | 407-418-6334
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Fax | 407-843-4444
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Authorized Official
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Title or Position | MANAGER
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Name | CYNTHIA A. KALEITA
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Credential | M.A., LMHC
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Telephone | 407-342-6288
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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 | MH#8164
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License Number State | FL
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