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General NPI Number Information
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NPI Number | 1982936803
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Entity Type | Organization
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Legal Business Name | CENTER FOR CHILD AND FAMILY COUNSELING,LLC
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 14707 S DIXIE HWY SUITE #317
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City | MIAMI
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State | FL
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Zip | 33176-7948
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Country | US
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Telephone | 305-254-9600
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Fax | 305-662-9889
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Provider Business Mailing Address
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Address Line | 14707 S DIXIE HWY SUITE #317
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City | MIAMI
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State | FL
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Zip | 33176-7948
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Country | US
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Telephone | 305-254-9600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STELLA M. VERNA ROSS
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Credential | PH D
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Telephone | 305-254-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH0205512
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 5512
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License Number State | FL
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