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General NPI Number Information
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NPI Number | 1780507400
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Entity Type | Organization
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Legal Business Name | CHOSEN THERAPY SERVICES
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 1422 PINE LAKE RD
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City | ORLANDO
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State | FL
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Zip | 32808-6323
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Country | US
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Telephone | 912-963-7256
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Fax |
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Provider Business Mailing Address
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Address Line | 1422 PINE LAKE RD
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City | ORLANDO
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State | FL
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Zip | 32808-6323
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Country | US
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Telephone | 912-963-7256
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Fax | 689-256-5356
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DENETRESS MONTOYA HINTON
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Credential | PHD
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Telephone | 912-963-7256
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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