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General NPI Number Information
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NPI Number | 1831578491
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Entity Type | Individual
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Provider Name | MELISSA BARTHELSON MILLER LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 740 FL CENTRAL PKWY STE 2008
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City | LONGWOOD
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State | FL
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Zip | 32750-7653
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Country | US
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Telephone | 407-774-2284
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Fax | 407-774-2285
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Provider Business Mailing Address
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Address Line | 1203 W 2ND ST
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City | SANFORD
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State | FL
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Zip | 32771-1061
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Country | US
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Telephone |
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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 | MH25140
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License Number State | FL
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