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General NPI Number Information
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NPI Number | 1750773859
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 02/26/2015
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Last Update Date | 02/26/2015
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Provider Practice Location Address
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Address Line | 661 SEMINOLA BLVD
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City | CASSELBERRY
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State | FL
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Zip | 32707-3057
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Country | US
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Telephone | 407-668-8861
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Fax |
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Provider Business Mailing Address
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Address Line | 661 SEMINOLA BLVD
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City | CASSELBERRY
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State | FL
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Zip | 32707-3057
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Country | US
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Telephone | 407-668-8861
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Fax |
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | MRS. MELISSA WEBER RINI
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Credential | LMHC
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Telephone | 407-668-8861
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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 | MH6967
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License Number State | FL
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