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General NPI Number Information
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NPI Number | 1104596139
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Entity Type | Organization
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Legal Business Name | LOVE, ME COUNSELING LLC
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Dates
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Enumeration Date | 09/20/2021
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 520 N ELLSWORTH RD STE 7A
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City | BOX ELDER
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State | SD
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Zip | 57719-2007
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Country | US
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Telephone | 816-299-0244
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Fax |
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Provider Business Mailing Address
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Address Line | 520 N ELLSWORTH RD STE 7A
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City | BOX ELDER
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State | SD
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Zip | 57719-2007
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Country | US
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Telephone | 816-299-0244
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MONICA R. FOSBERG
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Credential | NCC, LPC
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Telephone | 816-299-0244
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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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