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General NPI Number Information
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NPI Number | 1689125445
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Entity Type | Organization
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Legal Business Name | DENIELE L DEGRYSE, LMHC PA
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 1495 FOREST HILL BLVD STE G
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6073
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Country | US
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Telephone | 561-635-4143
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Fax | 561-433-3596
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Provider Business Mailing Address
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Address Line | 1495 FOREST HILL BLVD STE G
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6073
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Country | US
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Telephone | 561-635-4143
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Fax | 561-433-3596
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Authorized Official
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Title or Position | OWNER
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Name | DENIELE DEGRYSE
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Credential | LMHC
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Telephone | 561-635-4143
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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 | MH9065
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License Number State | FL
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