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General NPI Number Information
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NPI Number | 1881042919
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Entity Type | Organization
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Legal Business Name | COUNSELING HOPE
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 235 S. MAITLAND AVE. SUITE 111
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City | MAITLAND
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State | FL
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Zip | 32751-5629
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Country | US
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Telephone | 407-310-3533
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Fax |
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Provider Business Mailing Address
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Address Line | 235 S. MAITLAND AVE. SUITE 111
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City | MAITLAND
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State | FL
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Zip | 32751-5629
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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 | FOUNDER
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Name | MR. WILLIAM CARMODY
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Credential | LMHC, NCC
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Telephone | 407-310-3533
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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 | MH-11237
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License Number State | FL
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