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General NPI Number Information
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NPI Number | 1992057558
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Entity Type | Organization
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Legal Business Name | BREAKTHROUGH COUNSELING EDUCATION CENTER
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Dates
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Enumeration Date | 10/07/2012
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 1950 LEE ROAD SUITE 114
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City | WINTER PARK
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State | FL
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Zip | 32789-7210
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Country | US
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Telephone | 407-926-0319
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Fax | 407-926-0294
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Provider Business Mailing Address
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Address Line | 1950 LEE ROAD SUITE 114
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City | WINTER PARK
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State | FL
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Zip | 32789-7210
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Country | US
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Telephone | 407-926-0319
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Fax | 407-926-0294
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. SHEILA DAVIS
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Credential | ED. D, LMHC, NCC
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Telephone | 407-926-0319
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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 | MH7613
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License Number State | FL
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