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General NPI Number Information
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NPI Number | 1104186477
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Entity Type | Organization
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Legal Business Name | CENTER FOR HOPE, HELP, & HEALING COUNSELING & CONSULTATION SRVCS, LLC
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 11/23/2012
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Provider Practice Location Address
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Address Line | 588 E RICH ST FL 2
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City | COLUMBUS
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State | OH
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Zip | 43215-5599
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Country | US
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Telephone | 614-222-8100
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Fax | 614-222-8131
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Provider Business Mailing Address
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Address Line | 588 E RICH ST FL 2
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City | COLUMBUS
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State | OH
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Zip | 43215-5599
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Country | US
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Telephone | 614-222-8100
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Fax | 614-222-8131
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Authorized Official
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Title or Position | FOUNDER/OWNER/THERAPIST
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Name | MRS. SHEKYRA J DECREE
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Credential | PCC
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Telephone | 614-222-8100
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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 | E.0600534
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License Number State | OH
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