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General NPI Number Information
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NPI Number | 1811203052
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA COUNSELING AND CONSULTANTS
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 04/13/2015
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Provider Practice Location Address
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Address Line | 16300 NE 19TH AVE # 239
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4883
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Country | US
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Telephone | 305-537-6237
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Fax | 305-974-8262
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Provider Business Mailing Address
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Address Line | 16300 NE 19TH AVE # 239
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4883
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Country | US
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Telephone | 305-537-6237
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Fax | 305-974-8262
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALEJANDRO LAZARO CASTILLO
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Credential | LMHC, LMFT, CAP
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Telephone | 305-537-6237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAP 4906
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 8360
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 8560
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT2349
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAP 2821
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License Number State | FL
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