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General NPI Number Information
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NPI Number | 1013779743
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Entity Type | Organization
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Legal Business Name | INNER COMPASS THERAPY LLC
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 6744 NW COUNTY LINE RD
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City | COLEMAN
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State | MI
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Zip | 48618-9220
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Country | US
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Telephone | 248-289-0791
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 S MISSION ST # 116
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-4425
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Country | US
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Telephone | 248-289-0791
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Fax |
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Authorized Official
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Title or Position | PRIVATE PRACTICE OWNER
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Name | JENAE EVA FINNEY
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Credential | LMSW
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Telephone | 248-289-0791
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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 |
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License Number State |
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