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General NPI Number Information
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NPI Number | 1922879436
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Entity Type | Organization
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Legal Business Name | PURPOSE BEHAVIORAL HEALTH CENTER, LLC
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 733A OAK ST
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City | STARKE
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State | FL
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Zip | 32091-2337
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Country | US
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Telephone | 352-792-4241
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Fax |
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Provider Business Mailing Address
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Address Line | 315 N MYRTLE ST
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City | STARKE
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State | FL
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Zip | 32091-3026
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Country | US
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Telephone | 352-792-4241
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | PRETINA LAROSA HUTCHINSON ROSS
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Credential | LMHC
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Telephone | 352-792-4241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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