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General NPI Number Information
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NPI Number | 1205375086
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Entity Type | Organization
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Legal Business Name | TOUGH LOVE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 3890 W ANN RD STE 108
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-4417
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Country | US
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Telephone | 702-287-8895
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Fax | 702-952-5442
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Provider Business Mailing Address
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Address Line | 6337 STERLING RANCH WAY
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City | N LAS VEGAS
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State | NV
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Zip | 89081-6713
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Country | US
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Telephone | 702-287-8895
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Fax | 702-952-5442
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | ASHLEY COLEMAN
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Credential |
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Telephone | 702-287-8895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7370-C
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License Number State | NV
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