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General NPI Number Information
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NPI Number | 1689536831
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Entity Type | Organization
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Legal Business Name | EMMAUS ROAD COUNSELING, INC
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 17880 N US HIGHWAY 41
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City | LUTZ
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State | FL
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Zip | 33549-4502
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Country | US
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Telephone | 813-395-4091
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Fax |
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Provider Business Mailing Address
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Address Line | 5639 WHITE TRILLIUM LOOP
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City | LAND O LAKES
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State | FL
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Zip | 34639-2767
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Country | US
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Telephone | 813-395-4091
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | ALAN ALONSO
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Credential | LMHC
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Telephone | 813-395-4091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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