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General NPI Number Information
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NPI Number | 1992695985
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Entity Type | Organization
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Legal Business Name | ABLOOM COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 6900 TAVISTOCK LAKES BLVD STE 400
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City | ORLANDO
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State | FL
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Zip | 32827-7593
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Country | US
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Telephone | 407-630-7493
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Fax |
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Provider Business Mailing Address
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Address Line | 3307 FORTON DR
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City | ORLANDO
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State | FL
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Zip | 32824-7365
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA CORREDOR HERRERA
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Credential | LMHC
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Telephone | 407-985-6122
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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 |
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License Number State |
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