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General NPI Number Information
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NPI Number | 1942659826
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Entity Type | Organization
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Legal Business Name | COALITION FOR MENTAL HEALTH
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Dates
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Enumeration Date | 06/10/2016
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 6303 BLUE LAGOON DR SUITE 400
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City | MIAMI
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State | FL
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Zip | 33126-6002
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Country | US
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Telephone | 305-333-9943
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Fax | 786-666-9092
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Provider Business Mailing Address
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Address Line | 6303 BLUE LAGOON DR SUITE 400
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City | MIAMI
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State | FL
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Zip | 33126-6002
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Country | US
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Telephone | 305-333-9943
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Fax | 786-666-9092
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. JANET MARTINEZ
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Credential | LMHC
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Telephone | 305-333-9943
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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 | MH11530
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License Number State | FL
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