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General NPI Number Information
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NPI Number | 1083334916
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Entity Type | Organization
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Legal Business Name | TINY POSTCARDS COUNSELING & CREATIVE ARTS LLC
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 4234 HYDRAULIC AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63116-4438
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Country | US
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Telephone | 347-385-4713
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Fax |
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Provider Business Mailing Address
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Address Line | 4234 HYDRAULIC AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63116-4438
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Country | US
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Telephone | 347-385-4713
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | KYLE BRANDT-LUBART
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Credential | LCSW
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Telephone | 347-385-4713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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