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General NPI Number Information
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NPI Number | 1972925188
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Entity Type | Organization
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Legal Business Name | FAMILY COUNSELING CENTRE LLC
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Dates
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Enumeration Date | 01/08/2014
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Last Update Date | 01/08/2014
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Provider Practice Location Address
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Address Line | 8100 SW 81ST DR STE 290
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City | MIAMI
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State | FL
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Zip | 33143-6603
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Country | US
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Telephone | 305-270-7968
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Fax | 305-270-2540
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Provider Business Mailing Address
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Address Line | 8100 SW 81ST DR STE 290
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City | MIAMI
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State | FL
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Zip | 33143-6603
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Country | US
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Telephone | 305-270-7968
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Fax | 305-270-2540
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. DIANA A DE CARDENAS
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Credential | LMHC,LMFT
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Telephone | 305-270-7968
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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 |
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License Number State |
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