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General NPI Number Information
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NPI Number | 1689939506
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Entity Type | Organization
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Legal Business Name | POSITIVE STEPS COUNSELING LLC
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 07/06/2012
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Provider Practice Location Address
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Address Line | 300 N RONALD REAGAN BLVD SUITE 211
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City | LONGWOOD
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State | FL
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Zip | 32750-5901
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Country | US
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Telephone | 407-699-5824
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Fax |
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Provider Business Mailing Address
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Address Line | 300 N RONALD REAGAN BLVD SUITE 211
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City | LONGWOOD
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State | FL
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Zip | 32750-5901
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Country | US
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Telephone | 407-699-5824
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MS. DEBORAH SAWICKI-LAKE
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Credential | LMHC
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Telephone | 407-699-5824
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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 | MH8502
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License Number State | FL
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