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General NPI Number Information
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NPI Number | 1770355513
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Entity Type | Organization
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Legal Business Name | SYNDESI COUNSELING
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 1903 3RD ST N
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-7427
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Country | US
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Telephone | 904-479-8855
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Fax |
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Provider Business Mailing Address
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Address Line | 7635 TIMBERLIN PARK BLVD APT 1116
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6728
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Country | US
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Telephone | 813-420-5003
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | RACHEL THORPE
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Credential | LMHC
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Telephone | 904-479-8855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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