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General NPI Number Information
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NPI Number | 1821235565
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Entity Type | Individual
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Provider Name | HELEN E ROBERTS MSE, LMHC, LPC, CCMC
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Gender | Female
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Dates
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Enumeration Date | 01/16/2009
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 212 SE SABLE LN
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City | LAKE CITY
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State | FL
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Zip | 32025-1845
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Country | US
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Telephone | 941-363-1682
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Fax |
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Provider Business Mailing Address
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Address Line | 212 SE SABLE LN
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City | LAKE CITY
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State | FL
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Zip | 32025-1845
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Country | US
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Telephone | 941-631-6823
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 001096
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License Number State | IA
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