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General NPI Number Information
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NPI Number | 1043780729
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Entity Type | Organization
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Legal Business Name | WELLNESS COUNSELING CENTER
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 111 S MORGAN ST
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City | MORGANFIELD
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State | KY
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Zip | 42437-1552
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Country | US
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Telephone | 270-285-9023
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Fax | 270-285-9037
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Provider Business Mailing Address
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Address Line | 111 S MORGAN ST
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City | MORGANFIELD
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State | KY
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Zip | 42437-1552
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Country | US
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Telephone | 270-285-9023
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Fax | 270-285-9037
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | FARRAH BURGESS
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Credential |
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Telephone | 270-285-9023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 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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Taxonomy #3
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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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Taxonomy #4
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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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