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General NPI Number Information
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NPI Number | 1700397890
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Entity Type | Organization
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Legal Business Name | BEYOND THE MATTER COUNSELING AND CONSULTING SERVICES LLC
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Dates
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Enumeration Date | 10/17/2017
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Last Update Date | 10/17/2017
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Provider Practice Location Address
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Address Line | 3955 RIVERSIDE AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32205-3312
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Country | US
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Telephone | 904-549-6768
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Fax | 904-861-3815
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Provider Business Mailing Address
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Address Line | 7362 BOYSENBERRY LN N
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City | JACKSONVILLE
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State | FL
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Zip | 32244-5914
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Country | US
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Telephone | 904-571-8413
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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 | MARIA G GIULIANA
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Credential | MA, LMHC
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Telephone | 904-571-8413
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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 | MH12419
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License Number State | FL
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