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NPI 1871131920

NPI 1871131920 : DR. KAY'S COUNSELING : BRADENTON, FL

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General NPI Number Information
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    NPI Number           |    1871131920
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. KAY'S COUNSELING 
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Dates
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    Enumeration Date     |    12/19/2019
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    Last Update Date     |    01/26/2021
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Provider Practice Location Address
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    Address Line         |    3653 CORTEZ RD W STE 110B 
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34210-3168
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    Country              |    US
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    Telephone            |    941-914-8133
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3653 CORTEZ RD W STE 110B 
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34210-3168
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    Country              |    US
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    Telephone            |    941-914-8133
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    DR. ELIZABETH L KRZEWSKI 
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    Credential           |    ED.D, LMHC, CAP
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    Telephone            |    941-914-8133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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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