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General NPI Number Information
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NPI Number | 1134850753
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Entity Type | Organization
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Legal Business Name | SOUL BEAUTIFUL COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 398 UNION ST
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City | BEDFORD
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State | OH
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Zip | 44146-4569
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Country | US
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Telephone | 216-256-4697
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Fax |
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Provider Business Mailing Address
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Address Line | 398 UNION STREET
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City | BEDFORD
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State | OH
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Zip | 44146-4569
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Country | US
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Telephone | 216-256-4697
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MS. DOROTHEA GENAE HARDRICK
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Credential | LPCC-S
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Telephone | 216-256-4697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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