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General NPI Number Information
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NPI Number | 1972134724
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Entity Type | Individual
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Provider Name | JACINTA LEVORA LITTLE LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 6150 METROWEST BLVD STE 305
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City | ORLANDO
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State | FL
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Zip | 32835-3291
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Country | US
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Telephone | 855-204-2767
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Fax |
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Provider Business Mailing Address
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Address Line | 1755 LAKE SIDE AVE
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City | DAVENPORT
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State | FL
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Zip | 33837-1723
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Country | US
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Telephone | 407-360-2848
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | IMH19255
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License Number State | FL
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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 | MH25180
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 25180
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License Number State | FL
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