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NPI 1154871341

NPI 1154871341 : FAMILY OPTIONS - DEVELOPMENTAL PLANNING, LLC : LONDON, KY

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General NPI Number Information
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    NPI Number           |    1154871341
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAMILY OPTIONS - DEVELOPMENTAL PLANNING, LLC 
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Dates
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    Enumeration Date     |    10/11/2016
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    Last Update Date     |    10/11/2016
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Provider Practice Location Address
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    Address Line         |    225 SUBSTATION ST LONDON, KY 40741
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    City                 |    LONDON
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    State                |    KY
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    Zip                  |    40741-2205
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    Country              |    US
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    Telephone            |    606-682-3182
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    454 N MCWHORTER ST LONDON, KY 40741
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    City                 |    LONDON
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    State                |    KY
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    Zip                  |    40741-2224
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    Country              |    US
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    Telephone            |    606-864-8255
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    Fax                  |    606-864-8256
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. DEBORAH K GILBERT 
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    Credential           |    LPCC
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    Telephone            |    606-864-8255
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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       |    1582
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    License Number State |    KY
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