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General NPI Number Information
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NPI Number | 1891480737
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Entity Type | Individual
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Provider Name | ALYSSA DAVIS LMHC, CRC
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Gender | Female
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Dates
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Enumeration Date | 04/06/2023
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 4700 N STATE ROAD 7
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5800
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Country | US
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Telephone | 561-363-9934
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Fax |
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Provider Business Mailing Address
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Address Line | 4740 N STATE ROAD 7 STE 201
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5839
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Country | US
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Telephone | 561-363-9934
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MH20704
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH20704
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License Number State | FL
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