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General NPI Number Information
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NPI Number | 1205472727
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Entity Type | Organization
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Legal Business Name | RED DOOR COUNSELING, L.L.C.
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 1490 N BANK PKWY STE 248
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2439
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Country | US
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Telephone | 205-886-5124
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Fax | 205-752-4427
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Provider Business Mailing Address
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Address Line | 1490 N BANK PKWY STE 248
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2439
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Country | US
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Telephone | 205-886-5124
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Fax |
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Authorized Official
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Title or Position | OWNER/ORGANIZER
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Name | MS. WENDI H HOGUE
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Credential | LPC
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Telephone | 205-886-5124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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