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General NPI Number Information
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NPI Number | 1821572256
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Entity Type | Organization
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Legal Business Name | THERAPY IN THE GARDEN, LLC
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | 11432 N WILLIAMS ST UNIT 659
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City | DUNNELLON
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State | FL
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Zip | 34430-7731
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Country | US
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Telephone | 918-521-1997
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 659
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City | DUNNELLON
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State | FL
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Zip | 34430-0659
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Country | US
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Telephone | 918-521-1997
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Fax |
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Authorized Official
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Title or Position | LMHC/OWNER
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Name | BETTYJO CAMP
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Credential | LMHC
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Telephone | 918-521-1997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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