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General NPI Number Information
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NPI Number | 1114409794
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Entity Type | Organization
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Legal Business Name | LIFE SOLUTIONS COACHING COUNSELING & CONSULTING LLC
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 1485 S HAWKINS AVE STE 150G
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City | AKRON
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State | OH
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Zip | 44320-3475
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Country | US
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Telephone | 234-571-0039
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Fax |
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Provider Business Mailing Address
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Address Line | 1485 S HAWKINS AVE STE 150G
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City | AKRON
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State | OH
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Zip | 44320-3475
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Country | US
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Telephone | 234-571-0039
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Fax |
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Authorized Official
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Title or Position | CO-OWNER, CO-EXECUTIVE DIRECTOR
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Name | KATHEY D HODGES
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Credential | LISW
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Telephone | 330-459-5051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1200466
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.07000324
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License Number State | OH
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