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General NPI Number Information
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NPI Number | 1144884735
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Entity Type | Organization
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Legal Business Name | ADOPT HOPE, LLC
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 5600 MONROE ST STE 106A
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City | SYLVANIA
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State | OH
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Zip | 43560-2797
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Country | US
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Telephone | 734-347-0606
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 MONROE ST STE 106A
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City | SYLVANIA
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State | OH
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Zip | 43560-2797
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Country | US
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Telephone | 734-347-0606
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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 | LORRAN UPCHURCH
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Credential |
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Telephone | 734-347-0606
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 405300000X
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Taxonomy Name | Prevention Professional
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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