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General NPI Number Information
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NPI Number | 1972403590
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Entity Type | Organization
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Legal Business Name | CERTUS COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 11/07/2026
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Last Update Date | 11/07/2026
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Provider Practice Location Address
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Address Line | 18166 PARROT RD
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City | WEEKI WACHEE
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State | FL
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Zip | 34614-0318
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Country | US
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Telephone | 727-378-2287
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Fax |
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Provider Business Mailing Address
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Address Line | 18166 PARROT RD
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City | WEEKI WACHEE
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State | FL
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Zip | 34614-0318
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Country | US
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Telephone | 580-917-1379
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Fax |
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Authorized Official
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Title or Position | DR
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Name | NANCY ANN PENA
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Credential | LCSW, PHD
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Telephone | 727-378-2287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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