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General NPI Number Information
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NPI Number | 1104796606
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Entity Type | Organization
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Legal Business Name | OLIVIA JOY COUNSELING LLC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 8 E BRIDGE ST STE D1
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City | ROCKFORD
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State | MI
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Zip | 49341-1601
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Country | US
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Telephone | 616-433-6192
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Fax |
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Provider Business Mailing Address
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Address Line | 1971 E BELTLINE AVE NE STE 106 #1423
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-7045
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | MELISSA MARIE PHEBUS
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Credential | LPC
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Telephone | 616-433-6192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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