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General NPI Number Information
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NPI Number | 1184259574
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Entity Type | Organization
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Legal Business Name | RECOVERY TRANSITIONS, LLC
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Dates
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Enumeration Date | 03/06/2020
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 4650 MEXICO RD
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City | SAINT PETERS
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State | MO
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Zip | 63376-1607
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Country | US
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Telephone | 314-945-6811
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32093
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City | SAINT LOUIS
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State | MO
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Zip | 63132-8093
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Country | US
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Telephone | 314-956-6811
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Fax | 188-865-6832
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | RASHONDA THORNTON
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Credential | LPC
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Telephone | 314-956-6811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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