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General NPI Number Information
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NPI Number | 1063163301
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Entity Type | Organization
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Legal Business Name | SPERANZA COUNSELING
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Dates
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Enumeration Date | 01/18/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 6283 E LAUGHERY CREEK RD
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City | AURORA
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State | IN
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Zip | 47001-9768
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Country | US
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Telephone | 859-363-6213
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Fax |
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Provider Business Mailing Address
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Address Line | 6283 E LAUGHERY CREEK RD
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City | AURORA
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State | IN
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Zip | 47001-9768
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Country | US
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Telephone | 859-363-6213
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEAGAN MONTGOMERY
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Credential | LPCC
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Telephone | 812-701-2701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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