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General NPI Number Information
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NPI Number | 1699658351
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Entity Type | Organization
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Legal Business Name | BRUNER THERAPY & CONSULTING LLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 2101 NORTHSIDE DR UNIT 401
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City | PANAMA CITY
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State | FL
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Zip | 32405-3687
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Country | US
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Telephone | 850-723-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 5928 HANSFORD RD
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City | MARIANNA
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State | FL
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Zip | 32448-5274
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | ERIN BRUNER
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Credential | LCSW
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Telephone | 850-703-3597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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