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General NPI Number Information
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NPI Number | 1124814843
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Entity Type | Organization
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Legal Business Name | LAKE VIEW COUNSELING, LLC
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 7951 GRISTMILL DR
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City | LAKE VIEW
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State | AL
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Zip | 35111-3057
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Country | US
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Telephone | 205-401-4797
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 262
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City | MC CALLA
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State | AL
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Zip | 35111-0262
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Country | US
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Telephone | 205-401-4797
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | ROSALYN D DUDLEY
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Credential | LPC
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Telephone | 205-401-4797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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