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NPI 1760279855

NPI 1760279855 : JULIEN LIFE COUNSELING SERVICES : PALM COAST, FL

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General NPI Number Information
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    NPI Number           |    1760279855
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    Entity Type          |    Organization 
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    Legal Business Name  |    JULIEN LIFE COUNSELING SERVICES 
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Dates
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    Enumeration Date     |    04/22/2025
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    Last Update Date     |    06/02/2025
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Provider Practice Location Address
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    Address Line         |    1 HARGROVE GRADE STE 1E 
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    City                 |    PALM COAST
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    State                |    FL
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    Zip                  |    32137-5116
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    Country              |    US
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    Telephone            |    386-287-2575
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    Fax                  |    386-287-2575
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Provider Business Mailing Address
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    Address Line         |    2 PINE CONE DR UNIT 352563 
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    City                 |    PALM COAST
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    State                |    FL
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    Zip                  |    32135-7104
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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    |    THERAPIST
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    Name                 |     BEATRICE  LAFLEUR 
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    Credential           |    LCSW
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    Telephone            |    386-287-2575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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