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General NPI Number Information
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NPI Number | 1083589725
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Entity Type | Organization
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Legal Business Name | PROSPEROUS SOUL INNER HEALING & COUNSELING SERVICES
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 1010 FRONTIER DR STE 105
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City | FERGUS FALLS
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State | MN
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Zip | 56537-1023
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Country | US
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Telephone | 218-332-0767
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 FRONTIER DR STE 105
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City | FERGUS FALLS
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State | MN
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Zip | 56537-1023
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Country | US
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Telephone | 218-332-0767
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHERRI EVELYN-LEILANI CLARK
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Credential | LPCC, LADC
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Telephone | 218-770-3230
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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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