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General NPI Number Information
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NPI Number | 1790285120
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Entity Type | Organization
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Legal Business Name | SUSTAINING HOPE AND WELLNESS, LLC
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 617-600-8720
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 341241
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City | TAMPA
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State | FL
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Zip | 33694-1241
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Country | US
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Telephone | 617-600-8720
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Fax |
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Authorized Official
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Title or Position | FOUNDER & OWNER
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Name | VANESSA BENZAN-MONTEIRO
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Credential | LICSW
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Telephone | 617-600-8720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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