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General NPI Number Information
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NPI Number | 1700688850
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Entity Type | Organization
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Legal Business Name | SYNERGY FAMILY THERAPY AND MENTAL WELLNESS GROUP LLC
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 6801 LAKE WORTH RD STE 302
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City | GREENACRES
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State | FL
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Zip | 33467-2966
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Country | US
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Telephone | 561-680-2077
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Fax | 561-680-2454
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Provider Business Mailing Address
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Address Line | 9053 SILVER GLEN WAY
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City | LAKE WORTH
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State | FL
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Zip | 33467-4796
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Country | US
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Telephone | 561-667-0909
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KEDY LAURENT
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Credential | LMHC
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Telephone | 561-667-0909
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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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