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General NPI Number Information
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NPI Number | 1073271839
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Entity Type | Organization
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Legal Business Name | NUVO COUNSELING SERVICES
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Dates
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Enumeration Date | 11/29/2021
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 5731 W SLAUSON AVE STE 220
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City | CULVER CITY
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State | CA
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Zip | 90230-6984
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Country | US
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Telephone | 310-362-3726
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Fax | 310-684-2027
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Provider Business Mailing Address
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Address Line | 7660 BEVERLY BLVD APT 334
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City | LOS ANGELES
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State | CA
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Zip | 90036-2744
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Country | US
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Telephone | 719-330-2489
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHRYN RAE TAYLOR
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Credential | LMFT
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Telephone | 310-362-3726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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