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General NPI Number Information
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NPI Number | 1962216812
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Entity Type | Organization
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Legal Business Name | WELCOMING ACCEPTANCE AND RESILIENCE THROUGH INTENSIVE OUTPATIENT RECOVERY, LLC.
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 3005 LITHIA PINECREST RD
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City | VALRICO
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State | FL
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Zip | 33596-5630
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Country | US
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Telephone | 813-291-4660
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Fax |
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Provider Business Mailing Address
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Address Line | 3005 LITHIA PINECREST RD
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City | VALRICO
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State | FL
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Zip | 33596-5630
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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 | CEO
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Name | DR. ALEXIS MAY CHARRYS
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Credential | PSYD
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Telephone | 813-291-4660
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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