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General NPI Number Information
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NPI Number | 1952739781
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Entity Type | Organization
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Legal Business Name | DREAM BELIEVE TRANSFORMING LIVES COUNSELING CORP
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Dates
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Enumeration Date | 10/14/2013
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Last Update Date | 10/14/2013
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Provider Practice Location Address
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Address Line | 1035 S STATE ROAD 7 SUITE 315
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City | WELLINGTON
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State | FL
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Zip | 33414-6134
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Country | US
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Telephone | 561-422-4226
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 S STATE ROAD 7 SUITE 315
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City | WELLINGTON
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State | FL
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Zip | 33414-6134
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Country | US
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Telephone | 561-422-4226
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSAN MICHELLE DRENNAN
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Credential | LMHC
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Telephone | 561-422-4226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH11996
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License Number State | FL
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