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General NPI Number Information
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NPI Number | 1003750969
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Entity Type | Organization
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Legal Business Name | REBEL HEART COUNSELING, LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 2201 E MAPLE ST # 2211
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City | NORTH CANTON
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State | OH
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Zip | 44720-9997
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Country | US
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Telephone | 330-238-8797
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 E MAPLE ST # 2211
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City | NORTH CANTON
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State | OH
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Zip | 44720-9997
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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 | LPC, OWNER
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Name | CHRISTEN TAKACS
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Credential | LPC
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Telephone | 330-238-8797
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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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