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General NPI Number Information
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NPI Number | 1154564540
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Entity Type | Organization
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Legal Business Name | ENRICH COUNSELING CENTER, PLLC
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 8401 SHELBYVILLE RD SUITE 208
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City | LOUISVILLE
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State | KY
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Zip | 40222-5586
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Country | US
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Telephone | 502-403-1090
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Fax | 502-403-1074
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Provider Business Mailing Address
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Address Line | 8401 SHELBYVILLE RD SUITE 208
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City | LOUISVILLE
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State | KY
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Zip | 40222-5586
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Country | US
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Telephone | 502-403-1090
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Fax | 502-403-1074
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Authorized Official
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Title or Position | CLINICAL COUNSELOR/PRACTIC OWNER
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Name | MRS. SUNITA SRIVASTAVA BHATNAGAR
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Credential | LPCC
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Telephone | 502-403-1090
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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 | KY-0601
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License Number State | KY
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