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General NPI Number Information
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NPI Number | 1770376352
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Entity Type | Organization
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Legal Business Name | CONCEPTCORE GROUP, LLC
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 6047 KIMBERLY BLVD STE K
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-2820
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Country | US
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Telephone | 888-508-1105
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Fax |
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Provider Business Mailing Address
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Address Line | 6047 KIMBERLY BLVD STE K
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-2820
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Country | US
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Telephone | 888-508-1105
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MANOUSHKA REMOGENE
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Credential |
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Telephone | 561-283-1244
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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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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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