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General NPI Number Information
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NPI Number | 1952251258
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Entity Type | Organization
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Legal Business Name | MCNULTY COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 111 2ND AVE NE STE 1101
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3443
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Country | US
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Telephone | 727-344-9867
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Fax |
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Provider Business Mailing Address
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Address Line | 111 2ND AVE NE STE 1101
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3443
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Country | US
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Telephone | 727-344-9867
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KATHERINE LOPEZ
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Credential | J.D.
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Telephone | 412-780-2401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 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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