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General NPI Number Information
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NPI Number | 1962218487
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Entity Type | Organization
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Legal Business Name | ARKHAM RISE COUNSELING PLLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 4435 FLORIDA NATIONAL DR
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City | LAKELAND
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State | FL
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Zip | 33813-1516
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Country | US
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Telephone | 863-216-8964
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Fax |
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Provider Business Mailing Address
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Address Line | 6707 CRESCENT WOODS CIR
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City | LAKELAND
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State | FL
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Zip | 33813-4626
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Country | US
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Telephone | 813-777-0148
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | STEVEN DELRE
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Credential | LMHC
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Telephone | 813-777-0148
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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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