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General NPI Number Information
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NPI Number | 1730955097
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Entity Type | Organization
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Legal Business Name | LIT SESSION HOLISTIC INTEGRATIVE WELLNESS
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 430 SE 14TH ST
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City | GAINESVILLE
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State | FL
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Zip | 32641-3136
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Country | US
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Telephone | 352-559-5001
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Fax |
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Provider Business Mailing Address
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Address Line | 9200 NW 39TH AVE # 3109
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City | GAINESVILLE
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State | FL
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Zip | 32606-7331
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Country | US
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Telephone | 352-559-5001
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. AMANDA ASHLEY TAYLOR
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Credential | PHD, LMHC, QS
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Telephone | 352-559-5001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 282J00000X
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Taxonomy Name | Religious Nonmedical Health Care Institution
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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