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General NPI Number Information
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NPI Number | 1154285997
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Entity Type | Organization
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Legal Business Name | OVERCOME COUNSELING PLLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1740 E BEVERLY AVE STE B
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City | KINGMAN
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State | AZ
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Zip | 86409-3564
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Country | US
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Telephone | 928-753-9383
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Fax |
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Provider Business Mailing Address
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Address Line | 812 TOPEKA ST
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City | KINGMAN
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State | AZ
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Zip | 86401-6040
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Country | US
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Telephone | 949-391-8333
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Fax | 949-391-8333
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. SHAWNDA NICOLE YOUNG
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Credential | MS
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Telephone | 949-391-8333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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