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General NPI Number Information
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NPI Number | 1972838704
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Entity Type | Organization
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Legal Business Name | THE STEIN WELLNESS CENTER, INC.
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Dates
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Enumeration Date | 10/13/2009
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 221 PAULS DR STE A
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City | BRANDON
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State | FL
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Zip | 33511-3897
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Country | US
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Telephone | 813-685-2222
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Fax | 813-681-2208
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Provider Business Mailing Address
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Address Line | 221 PAULS DR STE A
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City | BRANDON
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State | FL
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Zip | 33511-3897
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Country | US
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Telephone | 813-685-2222
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Fax | 813-681-2208
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | MRS. CARMEN TERESA STEIN
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Credential | LMHC
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Telephone | 813-685-2221
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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 | MH2284
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License Number State | FL
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