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General NPI Number Information
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NPI Number | 1124545199
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Entity Type | Organization
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Legal Business Name | SYNERGOS COUNSELING INC
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 301 S BLOUNT ST STE 103
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City | MADISON
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State | WI
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Zip | 53703-4664
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Country | US
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Telephone | 608-405-5111
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Fax | 608-554-1052
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Provider Business Mailing Address
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Address Line | 301 S BLOUNT ST STE 103
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City | MADISON
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State | WI
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Zip | 53703-4664
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Country | US
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Telephone | 608-405-5111
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Fax | 608-554-1052
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOTHERAPIST
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Name | MRS. NICOLE MARIE BELL
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Credential | MA, LPC
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Telephone | 773-699-2415
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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 | 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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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number |
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Taxonomy #8
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Taxonomy Code | 133VN1501X
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Taxonomy Name | Sports Dietetics Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #9
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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 #10
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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