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General NPI Number Information
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NPI Number | 1205577426
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Entity Type | Organization
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Legal Business Name | HOPSCOTCH CLINICAL SERVICES, LLC
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Dates
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Enumeration Date | 04/03/2022
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 51 W ELLIOT RD STE 110
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City | TEMPE
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State | AZ
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Zip | 85284-1311
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Country | US
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Telephone | 623-335-2007
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Fax | 833-704-1908
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Provider Business Mailing Address
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Address Line | 8400 S KYRENE RD STE 225
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City | TEMPE
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State | AZ
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Zip | 85284-2177
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Country | US
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Telephone | 623-335-2007
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Fax | 833-704-1908
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | ELIZABETH HIGHTOWER
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Credential | LPC
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Telephone | 602-818-5445
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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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