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General NPI Number Information
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NPI Number | 1942171996
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Entity Type | Organization
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Legal Business Name | MENTAL CLARITY THERAPY, LLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 10242 NW 7TH ST UNIT 210
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City | MIAMI
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State | FL
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Zip | 33172-4095
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Country | US
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Telephone | 786-693-3295
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Fax |
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Provider Business Mailing Address
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Address Line | 1790 NW 108TH AVE STE 105
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City | MIAMI
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State | FL
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Zip | 33172-2015
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIA CAMPANICO
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Credential | MS
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Telephone | 786-693-3295
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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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