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General NPI Number Information
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NPI Number | 1992654339
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Entity Type | Organization
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Legal Business Name | TENDER HEART COUNSELING LLC
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1950 COURTNEY DR STE 207
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City | FORT MYERS
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State | FL
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Zip | 33901-9017
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Country | US
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Telephone | 941-564-5265
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Fax | 239-282-4185
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Provider Business Mailing Address
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Address Line | 1950 COURTNEY DR STE 207
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City | FORT MYERS
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State | FL
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Zip | 33901-9017
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Country | US
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Telephone | 941-564-5265
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Fax | 239-282-4185
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Authorized Official
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Title or Position | OWNER
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Name | MARC THEODOR
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Credential | PMHNP
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Telephone | 941-564-5265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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