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General NPI Number Information
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NPI Number | 1851874101
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Entity Type | Organization
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Legal Business Name | ACROSS THE LIFESPAN COUNSELING & THERAPY, LLC.
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Dates
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Enumeration Date | 09/12/2018
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Last Update Date | 09/12/2018
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Provider Practice Location Address
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Address Line | 2324 S CONGRESS AVE STE 1F
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City | PALM SPRINGS
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State | FL
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Zip | 33406-7667
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Country | US
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Telephone | 561-379-2809
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Fax |
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Provider Business Mailing Address
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Address Line | 1128 ROYAL PALM BEACH BLVD # 157
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1607
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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 | OWNER
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Name | CHERYL BLACKMAN
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Credential |
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Telephone | 561-379-2809
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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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