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General NPI Number Information
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NPI Number | 1871226068
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Entity Type | Organization
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Legal Business Name | SOWKA PSYCHOTHERAPY & CONSULTATION LLC
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 321 W ALFRED ST
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City | TAVARES
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State | FL
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Zip | 32778-3205
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Country | US
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Telephone | 352-577-9455
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Fax | 352-604-4375
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Provider Business Mailing Address
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Address Line | 321 W ALFRED ST
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City | TAVARES
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State | FL
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Zip | 32778-3205
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Country | US
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Telephone | 352-577-9455
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Fax | 352-225-7244
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Authorized Official
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Title or Position | OWNER
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Name | MELINDA MAY SOWKA
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Credential | LMHC, MCAP, CIRT
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Telephone | 352-577-9455
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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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