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General NPI Number Information
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NPI Number | 1033984067
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Entity Type | Organization
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Legal Business Name | INTERWOVEN THERAPY LLC
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 324 COMMONS DR
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6962
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Country | US
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Telephone | 205-598-7767
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Fax |
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Provider Business Mailing Address
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Address Line | 2355 TYROL PL
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City | VESTAVIA HILLS
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State | AL
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Zip | 35216-4275
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Country | US
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Telephone | 310-227-0521
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | KATHERINE R SCIACCA
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Credential | MED
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Telephone | 205-598-7767
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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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