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General NPI Number Information
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NPI Number | 1730546888
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Entity Type | Organization
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Legal Business Name | BRANDEN BARNETT COUNSELING LLC
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 657 GRAY ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33707-2448
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Country | US
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Telephone | 727-451-9281
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Fax |
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Provider Business Mailing Address
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Address Line | 11 DR MARTIN LUTHER KING JR ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33705-1616
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Country | US
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Telephone | 727-451-9281
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | MR. BRANDEN RICHARD BARNETT
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Credential | MA, LMHC
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Telephone | 727-451-9281
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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 | MH 13320
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License Number State | FL
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