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General NPI Number Information
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NPI Number | 1184362071
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Entity Type | Organization
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Legal Business Name | RED OAK COUNSELING, LLC
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Dates
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Enumeration Date | 05/22/2022
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1406 N MAIN ST STE 114
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City | MERIDIAN
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State | ID
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Zip | 83642-1798
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Country | US
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Telephone | 208-953-7721
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Fax | 208-963-3106
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Provider Business Mailing Address
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Address Line | 1406 N MAIN ST STE 114
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City | MERIDIAN
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State | ID
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Zip | 83642-1798
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Country | US
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Telephone | 208-953-7721
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Fax | 208-963-3106
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Authorized Official
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Title or Position | OWNER
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Name | OFELIA ANDREWS
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Credential | LPC
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Telephone | 208-953-7721
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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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