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General NPI Number Information
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NPI Number | 1164925269
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Entity Type | Organization
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Legal Business Name | JOY UNLIMITED COUNSELING CENTER, PLC
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 6100 NEWPORT RD STE 222A
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City | PORTAGE
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State | MI
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Zip | 49002-9235
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Country | US
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Telephone | 269-961-8589
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 NEWPORT RD STE 222
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City | PORTAGE
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State | MI
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Zip | 49002-9235
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Country | US
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Telephone | 269-488-5929
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CAROL A HARVEY
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Credential | LMSW
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Telephone | 269-961-8589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801090595
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License Number State | MI
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