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General NPI Number Information
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NPI Number | 1073098224
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Entity Type | Organization
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Legal Business Name | SANKOFA THERAPY PRACTICE, LLC
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 801 EVANS ST STE 104
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City | CINCINNATI
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State | OH
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Zip | 45204-2075
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Country | US
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Telephone | 513-903-6559
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8361
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City | CINCINNATI
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State | OH
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Zip | 45208-0361
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Country | US
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Telephone | 513-342-0180
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Fax |
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Authorized Official
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Title or Position | THERAPIST/PRESIDENT & CEO
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Name | MS. CHERYL ANN MCDONALD
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Credential | MSW, LISW-S
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Telephone | 513-342-0180
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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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