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General NPI Number Information
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NPI Number | 1720143589
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Entity Type | Organization
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Legal Business Name | CREATIVE COUSELING DIANE ALTHER LCSW PA
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 108 N MAGNOLIA AVE SUITE 505
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City | OCALA
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State | FL
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Zip | 34475
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Country | US
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Telephone | 352-425-1992
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Fax | 352-465-2118
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Provider Business Mailing Address
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Address Line | PO BOX 1296
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City | DUNNELLON
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State | FL
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Zip | 34430
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Country | US
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Telephone | 352-465-2118
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Fax | 352-465-2118
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Authorized Official
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Title or Position | PRESIDENT LCSW COUNSELING PSYCHOTHE
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Name | MRS. DIANE GAIL ALTHER
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Credential | LCSW RN
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Telephone | 352-465-2118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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