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General NPI Number Information
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NPI Number | 1073485942
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Entity Type | Organization
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Legal Business Name | MIND ALOE THERAPY, PLLC
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Dates
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Enumeration Date | 09/20/2025
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 5231 39TH AVE S APT 312
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City | SEATTLE
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State | WA
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Zip | 98118-6170
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Country | US
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Telephone | 206-889-5993
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Fax |
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Provider Business Mailing Address
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Address Line | 5920 MLK JR WAY S # 18694
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City | SEATTLE
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State | WA
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Zip | 98118-2626
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Country | US
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Telephone |
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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 | ELIZABETH ANN ROGERS
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Credential | LMHC
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Telephone | 248-977-9438
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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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