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General NPI Number Information
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NPI Number | 1992049845
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Entity Type | Organization
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Legal Business Name | SUPPORTIVE COUNSELING SERVICES INC.
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 7241 SHELBY LN
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City | PENSACOLA
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State | FL
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Zip | 32526-5222
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Country | US
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Telephone | 850-944-6475
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Fax |
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Provider Business Mailing Address
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Address Line | 7241 SHELBY LN
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City | PENSACOLA
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State | FL
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Zip | 32526-5222
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Country | US
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Telephone | 850-944-6475
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LAURA E LEVITAN
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Credential | LCSW
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Telephone | 850-944-6475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | SW7502
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License Number State | FL
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