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General NPI Number Information
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NPI Number | 1194612796
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Entity Type | Organization
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Legal Business Name | LYDIA E. HENTZ COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 7223 KEBIR CT
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City | FORT WAYNE
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State | IN
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Zip | 46815-6481
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Country | US
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Telephone | 260-760-1923
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Fax |
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Provider Business Mailing Address
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Address Line | 7223 KEBIR CT
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City | FORT WAYNE
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State | IN
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Zip | 46815-6481
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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
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Name | LYDIA ELAINE HENTZ
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Credential | LMHC
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Telephone | 260-760-1923
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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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