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General NPI Number Information
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NPI Number | 1831950443
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Entity Type | Organization
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Legal Business Name | POSITIVE PROGRESSIONS COUNSELING, LLC
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 2430 ESTANCIA BLVD STE 100A
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City | CLEARWATER
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State | FL
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Zip | 33761-2644
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Country | US
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Telephone | 727-831-1311
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Fax | 855-770-9968
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Provider Business Mailing Address
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Address Line | 2430 ESTANCIA BLVD STE 100A
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City | CLEARWATER
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State | FL
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Zip | 33761-2644
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Country | US
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Telephone | 727-831-1311
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Fax | 855-770-9968
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Authorized Official
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Title or Position | MEMBER
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Name | JENNIFER MICHELE PAOLILLO
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Credential | LMHC
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Telephone | 727-831-1311
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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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