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General NPI Number Information
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NPI Number | 1922823145
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Entity Type | Organization
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Legal Business Name | SEASONS OF WELLNESS INC.
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 2044 E ORANGE AVE
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City | EUSTIS
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State | FL
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Zip | 32726-4418
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Country | US
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Telephone | 352-763-3877
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Fax | 352-329-4378
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Provider Business Mailing Address
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Address Line | 26619 W COVE DR
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City | TAVARES
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State | FL
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Zip | 32778-9711
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Country | US
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Telephone | 606-260-9836
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUNE CRAFT
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Credential | APRN
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Telephone | 606-260-9836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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