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General NPI Number Information
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NPI Number | 1013830603
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Entity Type | Organization
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Legal Business Name | LAKE RESILIENCE COUNSELING, LLC
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 9239 BRIARBROOK DR NE
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City | WARREN
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State | OH
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Zip | 44484-1749
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Country | US
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Telephone | 234-213-1184
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Fax |
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Provider Business Mailing Address
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Address Line | 3617 ELM RD NE # 135
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City | WARREN
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State | OH
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Zip | 44483-2656
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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 | THERAPIST
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Name | TORI C LAKE
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Credential | LPCC
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Telephone | 330-647-1855
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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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