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General NPI Number Information
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NPI Number | 1164194478
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Entity Type | Organization
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Legal Business Name | HER STORY, INC
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 616 N LIMESTONE ST
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City | SPRINGFIELD
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State | OH
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Zip | 45503-4175
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Country | US
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Telephone | 937-505-3400
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Fax | 937-660-5656
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Provider Business Mailing Address
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Address Line | PO BOX 212
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City | XENIA
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State | OH
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Zip | 45385-0212
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Country | US
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Telephone | 937-708-8348
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ELAINA BRADLEY
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Credential |
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Telephone | 937-244-0308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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Taxonomy #3
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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 #4
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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 #5
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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 #6
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 177F00000X
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Taxonomy Name | Lodging Provider
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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