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General NPI Number Information
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NPI Number | 1912795535
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Entity Type | Organization
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Legal Business Name | BONDED COUNSELING COLLECTIVE LLC
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 110 W 96TH ST APT 2B
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City | NEW YORK
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State | NY
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Zip | 10025-6412
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Country | US
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Telephone | 239-770-7680
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 MARKET BLVD STE 530 PMB 25
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City | ROSWELL
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State | GA
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Zip | 30076-6723
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Country | US
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Telephone | 239-770-7680
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Fax |
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Authorized Official
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Title or Position | OWNER, DIRECTOR
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Name | DR. KARLI FLEITAS
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Credential | PHD, LMHC
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Telephone | 239-770-7680
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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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