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General NPI Number Information
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NPI Number | 1689497539
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Entity Type | Organization
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Legal Business Name | MI COUNSELOR LLC
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 3081 SALZEDO ST STE 202
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City | CORAL GABLES
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State | FL
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Zip | 33134-6725
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Country | US
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Telephone | 786-294-5624
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 BRICKELL BAY DR APT 409
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City | MIAMI
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State | FL
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Zip | 33131-2994
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Country | US
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Telephone | 786-294-5624
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARTA IGLESIAS
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Credential | LMHC
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Telephone | 786-294-5624
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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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