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General NPI Number Information
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NPI Number | 1972267193
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Entity Type | Organization
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Legal Business Name | LETTING GO COUNSELING, LLC
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 10/25/2021
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Provider Practice Location Address
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Address Line | 10031 PINES BLVD STE 236
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6180
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Country | US
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Telephone | 954-367-9149
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Fax |
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Provider Business Mailing Address
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Address Line | 9351 E ELM LN
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City | MIRAMAR
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State | FL
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Zip | 33025-2654
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Country | US
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Telephone | 954-274-7141
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MS. DIONE DE POOTER
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Credential | LMFT, MCAP
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Telephone | 954-274-7141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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