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General NPI Number Information
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NPI Number | 1164318499
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Entity Type | Organization
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Legal Business Name | THERAPY NEST, PLLC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 600 E GURLEY ST STE A
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City | PRESCOTT
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State | AZ
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Zip | 86301-3246
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Country | US
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Telephone | 928-224-9109
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Fax |
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Provider Business Mailing Address
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Address Line | 1086 E WAGON WHEEL DR
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City | PRESCOTT
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State | AZ
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Zip | 86303-8236
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Country | US
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Telephone | 928-224-9109
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHERRINA JOHNSON
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Credential | MS, LMFT
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Telephone | 928-224-9109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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