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General NPI Number Information
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NPI Number | 1003339110
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Entity Type | Organization
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Legal Business Name | LIVING HOPE COUNSELING, LLC
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 03/24/2020
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Provider Practice Location Address
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Address Line | 103 CONTINENTAL PL STE 120
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City | BRENTWOOD
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State | TN
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Zip | 37027-1086
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Country | US
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Telephone | 615-746-7344
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Fax |
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Provider Business Mailing Address
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Address Line | 103 CONTINENTAL PL STE 120
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City | BRENTWOOD
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State | TN
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Zip | 37027-1086
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Country | US
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Telephone | 615-746-7344
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | STEPHANIE VERNELL KRESS
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Credential | LCSW
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Telephone | 615-746-7344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6406
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License Number State | TN
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