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General NPI Number Information
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NPI Number | 1932774502
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Entity Type | Organization
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Legal Business Name | THERAPY & WELLNESS SERVICES LLC
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 2824 WINDGUARD CIR STE 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544
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Country | US
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Telephone | 813-665-0210
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 BEACONSFIELD DR.
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543
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Country | US
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Telephone | 630-251-2902
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR /E
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Name | MRS. VIVIAN ABOUALLOL
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Credential | LMHC, LCPC
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Telephone | 630-251-2902
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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