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General NPI Number Information
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NPI Number | 1104616754
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Entity Type | Organization
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Legal Business Name | CENTERED COUNSELING AND PSYCHOLOGY LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 16402 PICARDIE WAY
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City | EAST LANSING
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State | MI
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Zip | 48823-9237
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Country | US
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Telephone | 517-258-2220
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Fax | 517-295-0370
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Provider Business Mailing Address
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Address Line | 16402 PICARDIE WAY
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City | EAST LANSING
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State | MI
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Zip | 48823-9237
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Country | US
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Telephone | 517-258-2220
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Fax | 517-295-0370
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Authorized Official
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Title or Position | OWNER, PRACTITIONER
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Name | RENEE M BENARD
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Credential | MA LLP
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Telephone | 517-252-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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