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General NPI Number Information
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NPI Number | 1790193944
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Entity Type | Organization
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Legal Business Name | ART OF LIVING COUNSELING CORP
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 11401 SW 40TH ST STE 338
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City | MIAMI
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State | FL
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Zip | 33165-3300
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Country | US
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Telephone | 786-543-1208
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Fax | 305-200-3891
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Provider Business Mailing Address
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Address Line | 11401 SW 40TH ST STE 338
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City | MIAMI
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State | FL
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Zip | 33165-3300
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Country | US
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Telephone | 786-543-1208
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Fax | 305-200-3891
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ALINA SERRA
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Credential | LMHC
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Telephone | 786-543-1208
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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 | MH8708
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License Number State | FL
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