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General NPI Number Information
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NPI Number | 1164018495
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Entity Type | Organization
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Legal Business Name | NEW SEASON COUNSELING CENTER LLC
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 5460 CLEVELAND AVE
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City | COLUMBUS
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State | OH
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Zip | 43231-4074
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Country | US
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Telephone | 614-568-8236
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Fax | 614-725-2829
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Provider Business Mailing Address
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Address Line | 3197 E DUBLIN GRANVILLE RD
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City | COLUMBUS
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State | OH
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Zip | 43231-4035
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Country | US
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Telephone | 614-880-8686
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Fax | 614-888-8414
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Authorized Official
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Title or Position | SENIOR MANAGER
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Name | DAVID WEAVER
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Credential |
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Telephone | 614-880-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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