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General NPI Number Information
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NPI Number | 1003606286
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE COUNSELING LLC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 529 W GRAND RIVER AVE # 1
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City | EAST LANSING
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State | MI
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Zip | 48823-4203
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Country | US
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Telephone | 517-490-1455
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Fax | 517-962-0035
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Provider Business Mailing Address
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Address Line | 529 W GRAND RIVER AVE # 1
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City | EAST LANSING
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State | MI
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Zip | 48823-4203
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Country | US
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Telephone | 517-490-1455
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Fax | 517-962-0035
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Authorized Official
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Title or Position | BILLER - OFFICE MGR
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Name | SHELLY L MILLER
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Credential |
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Telephone | 989-763-3532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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