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General NPI Number Information
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NPI Number | 1750910048
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Entity Type | Organization
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Legal Business Name | HOPE RESTORED COUNSELING OF FLORIDA, LLC
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 2033 E EDGEWOOD DR STE 1
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City | LAKELAND
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State | FL
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Zip | 33803-3660
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Country | US
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Telephone | 863-712-0877
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6732
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City | LAKELAND
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State | FL
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Zip | 33807-6732
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Country | US
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Telephone | 863-712-0877
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Fax | 863-777-5412
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Authorized Official
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Title or Position | OWNER
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Name | RITA D LANGDALE
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Credential | DSW, LCSW
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Telephone | 863-712-0877
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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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