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General NPI Number Information
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NPI Number | 1114516135
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Entity Type | Organization
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Legal Business Name | LITTLE SUNFLOWER COUNSELING, LLC
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Dates
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Enumeration Date | 01/14/2021
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 700 SW HIGGINS AVE STE 107
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City | MISSOULA
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State | MT
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Zip | 59803-1489
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Country | US
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Telephone | 406-214-3810
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 S RESERVE ST # 1020
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City | MISSOULA
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State | MT
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Zip | 59801-6451
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Country | US
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Telephone | 406-214-3810
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIE PETTIT
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Credential | LCPC
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Telephone | 406-531-3948
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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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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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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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