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General NPI Number Information
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NPI Number | 1023741766
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Entity Type | Organization
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Legal Business Name | OVERCOMER COUNSELING LLC
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Dates
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Enumeration Date | 07/08/2022
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 265 N 4TH ST
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City | LARAMIE
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State | WY
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Zip | 82072-3131
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Country | US
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Telephone | 307-399-0791
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Fax |
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Provider Business Mailing Address
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Address Line | 265 N 4TH ST
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City | LARAMIE
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State | WY
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Zip | 82072-3131
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Country | US
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Telephone | 307-399-0791
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. MELISSA MCGEE
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Credential |
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Telephone | 307-399-0791
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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 | 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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