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General NPI Number Information
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NPI Number | 1881474559
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Entity Type | Organization
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Legal Business Name | LONGBOAT COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 390 CROWN OAK CENTRE DR
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City | LONGWOOD
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State | FL
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Zip | 32750-6149
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Country | US
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Telephone | 407-406-3335
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Fax |
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Provider Business Mailing Address
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Address Line | 250 N CASTLEFORD CT
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City | LONGWOOD
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State | FL
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Zip | 32779-4582
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Country | US
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Telephone | 407-406-3335
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR AND SUPERVISOR
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Name | ROMINA PATRICIA PAPADOPULOS
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Credential | LMHC
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Telephone | 407-406-3335
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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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