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General NPI Number Information
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NPI Number | 1205363371
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Entity Type | Organization
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Legal Business Name | MICHELLE HARWELL THERAPY
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Dates
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Enumeration Date | 05/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2120 COLORADO BLVD STE 2
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City | LOS ANGELES
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State | CA
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Zip | 90041-1255
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Country | US
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Telephone | 626-382-8005
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 COLORADO BLVD STE 2
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City | LOS ANGELES
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State | CA
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Zip | 90041-1255
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Country | US
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Telephone | 626-382-8005
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | DR. MICHELLE HARWELL
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Credential | PSYD, LMFT
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Telephone | 626-382-8005
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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 | 2265
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 24942
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 50732
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License Number State | CA
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Taxonomy #4
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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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