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General NPI Number Information
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NPI Number | 1841654167
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE SOULS COUNSELING
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 101 TIMBERLACHEN CIR SUITE 101
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City | LAKE MARY
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State | FL
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Zip | 32746-6124
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Country | US
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Telephone | 321-262-3442
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Fax | 407-330-5244
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Provider Business Mailing Address
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Address Line | PO BOX 950441
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City | LAKE MARY
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State | FL
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Zip | 32795-0441
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Country | US
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Telephone | 321-262-3442
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Fax | 407-330-5244
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | ALISON GARCIA
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Credential | LMHC, CCTP
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Telephone | 321-262-3442
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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 | MH11164
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License Number State | FL
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