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General NPI Number Information
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NPI Number | 1972004513
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Entity Type | Organization
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Legal Business Name | CAMINITI COUNSELING, LLC
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 805 HOLCOMB BLVD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3943
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Country | US
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Telephone | 601-514-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 276 PISTOL HOWELL RD
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City | LUCEDALE
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State | MS
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Zip | 39452-9429
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Country | US
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Telephone | 601-514-0088
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID ANTHONY CAMINITI
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Credential | LPC
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Telephone | 601-514-0088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2238
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2238
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License Number State | MS
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