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General NPI Number Information
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NPI Number | 1912711607
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Entity Type | Organization
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Legal Business Name | COUNSELING UNLIMITED AND VIRTUAL VISITS
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 516 W KALMIA DR
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City | LAKE PARK
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State | FL
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Zip | 33403-2230
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Country | US
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Telephone | 865-444-4628
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Fax | 614-343-1538
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Provider Business Mailing Address
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Address Line | 1902 NW 21ST AVE
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City | CAPE CORAL
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State | FL
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Zip | 33993-5984
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Country | US
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Telephone | 865-444-4628
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHERYL MARYE ALLEN-FREEMAN
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Credential | LPCC-S
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Telephone | 865-444-4628
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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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