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General NPI Number Information
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NPI Number | 1770323974
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Entity Type | Organization
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Legal Business Name | BRIA WONESH LMHC L.L.C.
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 150 E PALMETTO PARK RD STE 800
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City | BOCA RATON
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State | FL
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Zip | 33432-4833
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Country | US
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Telephone | 561-990-3798
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Fax |
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Provider Business Mailing Address
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Address Line | 150 E PALMETTO PARK RD STE 800
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City | BOCA RATON
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State | FL
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Zip | 33432-4833
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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 | PRESIDENT
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Name | MRS. BRIA WONESH
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Credential |
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Telephone | 561-866-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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