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General NPI Number Information
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NPI Number | 1720790835
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Entity Type | Organization
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Legal Business Name | RE-WRITTEN COUNSELING SERVICES
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 10570 S US HIGHWAY 1 STE 300
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-5606
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Country | US
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Telephone | 772-812-3460
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Fax | 772-673-2266
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Provider Business Mailing Address
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Address Line | 10570 S US HIGHWAY 1 STE 300
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-5606
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Country | US
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Telephone | 772-812-3460
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Fax | 772-673-2266
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | ASHLEY BRYANT
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Credential | LMHC
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Telephone | 772-812-3460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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