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General NPI Number Information
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NPI Number | 1073335899
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Entity Type | Organization
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Legal Business Name | IVY AND SAGE COUNSELING
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 200 W BRIDGE ST STE B
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City | DUBLIN
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State | OH
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Zip | 43017-1141
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Country | US
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Telephone | 380-233-8057
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Fax |
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Provider Business Mailing Address
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Address Line | 551 MEADOW GREEN CIR
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City | GAHANNA
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State | OH
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Zip | 43230-3179
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Country | US
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Telephone | 567-203-8694
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | KATHRYN BARRETT
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Credential | LPCC-S
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Telephone | 380-233-8057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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