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General NPI Number Information
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NPI Number | 1134699317
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Entity Type | Organization
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Legal Business Name | JUST BREATHE COUNSELING
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Dates
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Enumeration Date | 11/29/2018
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 517 FRANKLIN ST # 104
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City | MICHIGAN CITY
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State | IN
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Zip | 46360
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Country | US
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Telephone | 219-545-2972
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Fax | 219-728-1485
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Provider Business Mailing Address
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Address Line | 517 FRANKLIN ST # 104
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-3328
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Country | US
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Telephone | 219-545-2972
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Fax | 219-728-1485
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MRS. RHONDA LYNN UNDERWOOD
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Credential | LMHC
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Telephone | 219-545-2972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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