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General NPI Number Information
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NPI Number | 1992127294
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Entity Type | Organization
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Legal Business Name | EMBRACING YOU COUNSELING SERVICES INC
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Dates
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Enumeration Date | 01/06/2014
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Last Update Date | 06/21/2017
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Provider Practice Location Address
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Address Line | 540 NW 165TH STREET RD SUITE 110
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City | MIAMI
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State | FL
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Zip | 33169-6304
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Country | US
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Telephone | 786-953-4612
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Fax | 786-953-8534
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Provider Business Mailing Address
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Address Line | 540 NW 165TH STREET RD SUITE 110
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City | MIAMI
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State | FL
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Zip | 33169-6304
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Country | US
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Telephone | 786-953-4612
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Fax | 786-953-8534
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTIONE T ROUSE
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Credential |
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Telephone | 786-953-4612
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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 |
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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 | FL
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