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General NPI Number Information
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NPI Number | 1801662028
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Entity Type | Organization
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Legal Business Name | THRESHOLD COUNSELING
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 8359 BEACON BLVD STE 312
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City | FORT MYERS
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State | FL
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Zip | 33907-3062
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Country | US
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Telephone | 239-691-2520
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Fax | 239-986-8014
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Provider Business Mailing Address
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Address Line | 8359 BEACON BLVD STE 312
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City | FORT MYERS
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State | FL
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Zip | 33907-3062
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Country | US
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Telephone | 239-691-2520
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Fax | 239-986-8014
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Authorized Official
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Title or Position | LICENSED MARRIAGE & FAMILY THERAPIS
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Name | MRS. KELLIE-ANN PATRICE TORRES
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Credential |
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Telephone | 239-691-2520
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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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