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General NPI Number Information
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NPI Number | 1841945623
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Entity Type | Organization
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Legal Business Name | GULF WIND COUNSELING LLC
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Dates
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Enumeration Date | 02/19/2022
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Last Update Date | 07/15/2023
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Provider Practice Location Address
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Address Line | 230 JOHN KNOX RD STE 1
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City | TALLAHASSEE
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State | FL
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Zip | 32303-6681
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Country | US
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Telephone | 850-597-7833
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Fax | 850-792-8450
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Provider Business Mailing Address
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Address Line | 230 JOHN KNOX RD STE 1
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City | TALLAHASSEE
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State | FL
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Zip | 32303-6681
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Country | US
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Telephone | 850-597-7833
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Fax | 850-792-8450
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Authorized Official
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Title or Position | PRESIDENT
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Name | TERANCE KEENAN
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Credential | LCSW
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Telephone | 850-445-2476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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