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General NPI Number Information
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NPI Number | 1851856637
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Entity Type | Organization
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Legal Business Name | ACA COUNSELING, LLC
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Dates
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Enumeration Date | 02/05/2019
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Last Update Date | 02/24/2019
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Provider Practice Location Address
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Address Line | 240 N BREVARD AVE
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City | ARCADIA
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State | FL
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Zip | 34266-4406
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Country | US
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Telephone | 941-993-5438
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Fax |
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Provider Business Mailing Address
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Address Line | 14460 SUGAR BOWL RD
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City | MYAKKA CITY
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State | FL
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Zip | 34251-5983
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Country | US
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Telephone | 941-993-5438
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JANET T BRUGGEMANN
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Credential | LMHC
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Telephone | 941-993-5438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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