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General NPI Number Information
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NPI Number | 1124692405
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGY SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 642 S ALASKA ST STE 220
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City | PALMER
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State | AK
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Zip | 99645-6378
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Country | US
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Telephone | 907-331-0220
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Fax | 855-702-2532
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Provider Business Mailing Address
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Address Line | 6450 E VERBONCOEUR DR
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City | WASILLA
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State | AK
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Zip | 99654-4550
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Country | US
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Telephone | 907-715-8175
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Fax | 855-702-2532
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Authorized Official
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Title or Position | DIRECTOR
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Name | LILLIE MICHELLE GRIMES
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Credential | PHD
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Telephone | 907-715-8175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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