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General NPI Number Information
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NPI Number | 1164204103
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Entity Type | Organization
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Legal Business Name | SOMETHING SIMPLE COUNSELING
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 16-2103 UAU RD
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City | KURTISTOWN
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State | HI
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Zip | 96760
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Country | US
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Telephone | 860-680-0176
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Fax |
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Provider Business Mailing Address
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Address Line | GENERAL DELIVERY
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City | KEAAU
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State | HI
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Zip | 96749-9999
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Country | US
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Telephone | 808-480-8083
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. ALEXANDRIA KING
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Credential | PSYD
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Telephone | 860-680-0176
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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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