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General NPI Number Information
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NPI Number | 1972862126
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Entity Type | Organization
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Legal Business Name | CULMER COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 430 SW 178TH WAY
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4100
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Country | US
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Telephone | 954-668-3406
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Fax |
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Provider Business Mailing Address
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Address Line | 430 SW 178TH WAY
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4100
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Country | US
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Telephone | 954-668-3406
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MRS. PRIMROSE HUMPRHIES
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Credential | MS, LMHC
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Telephone | 954-668-3406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | MH 10678
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License Number State | FL
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH 10678
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License Number State | FL
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