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General NPI Number Information
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NPI Number | 1699922435
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Entity Type | Organization
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Legal Business Name | ARIEL BREEN PROFESSIONAL COUNSELING SERVICES, PA
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Dates
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Enumeration Date | 08/22/2008
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Last Update Date | 08/22/2008
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Provider Practice Location Address
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Address Line | 5623 US HIGHWAY 19 SUITE 104
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-3700
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Country | US
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Telephone | 727-815-8100
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Fax | 727-848-6347
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Provider Business Mailing Address
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Address Line | 12110 BEAGLE RD
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City | HUDSON
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State | FL
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Zip | 34667-6013
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Country | US
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Telephone | 727-815-8100
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | ARIEL T BREEN
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Credential | LMHC, CAP
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Telephone | 727-815-8100
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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 | 8897
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License Number State | FL
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