{
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"OrgName": "DESTINY COUNSELING, LLC",
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"FirstLineMailingAddress": "PO BOX 2702",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WINTER HAVEN",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33883-2702",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "863-206-7227",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "630 ALICIA RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKELAND",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33801",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/16/2012",
"LastUpdateDate": "03/16/2012",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KNIGHT-MILLER",
"AuthorizedOfficialFirstName": "PATRICIA",
"AuthorizedOfficialMiddleName": "FAYE",
"AuthorizedOfficialTitle": "LICENSED MENTAL HEALTH COUNSELOR",
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"AuthorizedOfficialCredential": "LMHC",
"AuthorizedOfficialTelephoneNumber": "863-206-7227",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "MH7238",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}