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General NPI Number Information
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NPI Number | 1992697767
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Entity Type | Organization
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Legal Business Name | TYKES & TEENS, INC
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 451 SW BETHANY DR STE 101
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-1964
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Country | US
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Telephone | 772-220-3439
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Fax | 772-220-3484
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Provider Business Mailing Address
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Address Line | 900 SE OCEAN BLVD STE E340
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City | STUART
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State | FL
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Zip | 34994-2471
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Country | US
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Telephone | 772-220-3439
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Fax |
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Authorized Official
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Title or Position | BILLING & CREDENTIALING SPECIALIST
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Name | RACHEL SWEIKERT
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Credential |
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Telephone | 772-220-3439
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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