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General NPI Number Information
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NPI Number | 1104642693
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Entity Type | Organization
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Legal Business Name | EMERSON MENTAL HEATLH & SUBSTANCE USE COUNSELING LLC
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Dates
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Enumeration Date | 11/29/2024
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 985 MIDLAND ST
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City | SYRACUSE
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State | NE
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Zip | 68446-9736
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Country | US
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Telephone | 402-864-0778
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Fax |
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Provider Business Mailing Address
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Address Line | 985 MIDLAND ST
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City | SYRACUSE
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State | NE
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Zip | 68446-9736
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Country | US
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Telephone | 402-864-0778
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY NICOLE EMERSON
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Credential | MS, LIMHP, LADC
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Telephone | 402-864-0778
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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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