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General NPI Number Information
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NPI Number | 1083555106
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Entity Type | Organization
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Legal Business Name | LE-AST SERVICES/COUNSELING LLC
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 1589 HIGHWAY 7 STE 208
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City | HOPKINS
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State | MN
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Zip | 55305-4741
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Country | US
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Telephone | 612-389-9001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1742
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City | MINNETONKA
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State | MN
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Zip | 55345-0742
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Country | US
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Telephone | 651-389-9002
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT MARKS
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Credential | LICSW
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Telephone | 612-389-9001
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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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