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General NPI Number Information
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NPI Number | 1174131528
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Entity Type | Organization
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Legal Business Name | CALMCARE COUNSELING AND WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 937 W LIBERTY STREET
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City | HUBBARD
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State | OH
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Zip | 44425
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Country | US
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Telephone | 855-277-8306
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 302
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City | HUBBARD
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State | OH
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Zip | 44425-0302
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JAMIE JOHNSON
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Credential | LPCC-S
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Telephone | 855-277-8360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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