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General NPI Number Information
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NPI Number | 1750980975
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Entity Type | Organization
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Legal Business Name | BOCA BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 399 W PALMETTO PARK RD STE 106
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City | BOCA RATON
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State | FL
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Zip | 33432-3760
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Country | US
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Telephone | 561-961-9077
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Fax |
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Provider Business Mailing Address
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Address Line | 800 SW 16TH ST
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City | BOCA RATON
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State | FL
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Zip | 33486-6956
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Country | US
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Telephone |
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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 | ANASTASIA LEONDIS
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Credential | MA, LMHC, NCC
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Telephone | 561-961-9077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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