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General NPI Number Information
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NPI Number | 1750675401
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Entity Type | Organization
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Legal Business Name | SIVANA COUNSELING, LLC
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Dates
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Enumeration Date | 05/29/2011
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Last Update Date | 04/09/2020
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Provider Practice Location Address
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Address Line | 2431 ALOMA AVE STE 134
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City | WINTER PARK
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State | FL
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Zip | 32792-2541
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Country | US
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Telephone | 407-917-7544
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Fax |
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Provider Business Mailing Address
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Address Line | 1879 LEE RD STE C
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City | WINTER PARK
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State | FL
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Zip | 32789-2102
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Country | US
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Telephone | 407-917-7544
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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 | MISS JANICE MARIE BOES
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Credential | LMHC
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Telephone | 407-917-7544
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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 | FL
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