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General NPI Number Information
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NPI Number | 1013491638
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Entity Type | Organization
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Legal Business Name | SPIRO COUNSELING, LLC
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 925 MILLS AVE
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City | LAS VEGAS
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State | NM
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Zip | 87701-4047
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Country | US
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Telephone | 505-570-1927
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Fax |
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Provider Business Mailing Address
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Address Line | 925 MILLS AVE
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City | LAS VEGAS
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State | NM
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Zip | 87701-4047
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Country | US
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Telephone | 505-570-1927
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | LETTICIA URIOSTE
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Credential | P-LMSW
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Telephone | 505-570-1927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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