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General NPI Number Information
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NPI Number | 1922315340
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Entity Type | Organization
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Legal Business Name | ERMC COUNSELING SERVICES INC
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Dates
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Enumeration Date | 09/07/2010
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 6420 MELALEUCA LN
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City | GREENACRES
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State | FL
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Zip | 33463-3807
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Country | US
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Telephone | 561-286-5340
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Fax | 888-385-6227
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Provider Business Mailing Address
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Address Line | 6420 MELALEUCA LN
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City | GREENACRES
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State | FL
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Zip | 33463-3807
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Country | US
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Telephone | 561-286-5340
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Fax | 888-385-6227
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Authorized Official
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Title or Position | PRESIDENT OF CLINICAL OPERATIONS
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Name | DR. ELIZABETH R CHARLES
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Credential | PHD, LMHC
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Telephone | 561-286-5349
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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 | MH 12182
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 12210
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 7294
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6917
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License Number State | MA
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