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General NPI Number Information
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NPI Number | 1104415637
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Entity Type | Organization
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Legal Business Name | INSPIRED HAPPINESS THERAPY AND WELLNESS LLC
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 877 NORTHPARK DRIVE SUITE 400
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City | RIDGELAND
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State | MS
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Zip | 39157
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Country | US
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Telephone | 769-224-4234
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 319
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City | RIDGELAND
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State | MS
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Zip | 39158-0319
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Country | US
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Telephone | 601-790-0020
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. STACEY ALDRIDGE
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Credential | LCSW
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Telephone | 601-790-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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