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General NPI Number Information
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NPI Number | 1699244640
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Entity Type | Organization
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Legal Business Name | THE TRAVELING THERAPIST LLC
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Dates
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Enumeration Date | 11/20/2018
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 303 NE 3RD AVE STE 7&8
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City | CAPE CORAL
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State | FL
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Zip | 33909-2538
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Country | US
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Telephone | 321-246-7075
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Fax | 800-948-3094
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Provider Business Mailing Address
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Address Line | 303 NE 3RD AVE STE 7&8
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City | CAPE CORAL
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State | FL
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Zip | 33909-2538
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Country | US
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Telephone | 239-354-7227
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Fax | 239-354-7234
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Authorized Official
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Title or Position | OWNER
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Name | YALILY SMITH
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Credential | LCSW
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Telephone | 239-354-7227
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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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