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General NPI Number Information
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NPI Number | 1043121866
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Entity Type | Organization
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Legal Business Name | INNER SYSTEMS THERAPY, PLLC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 1543 W 110 N
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-3555
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Country | US
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Telephone | 801-592-9525
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Fax |
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Provider Business Mailing Address
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Address Line | 1543 W 110 N
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-3555
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Country | US
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Telephone | 801-592-9525
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA MICHELLE RINCON
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Credential | CMHC
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Telephone | 801-592-9525
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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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