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General NPI Number Information
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NPI Number | 1881486595
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Entity Type | Organization
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Legal Business Name | LIFE SOLUTIONS COUNSELING SERVICES
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 9886 JENO RD
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City | MILTON
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State | FL
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Zip | 32583-9345
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Country | US
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Telephone | 520-392-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 5545 SAUFLEY FIELD RD
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City | PENSACOLA
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State | FL
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Zip | 32526-9479
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Country | US
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Telephone | 520-392-0088
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Fax |
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Authorized Official
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Title or Position | LAC
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Name | SHELLY M PARKS
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Credential | MSC
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Telephone | 520-392-0088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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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 | 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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