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General NPI Number Information
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NPI Number | 1205588852
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Entity Type | Organization
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Legal Business Name | THERAPISTS' ALLIANCE, LLP
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 8565 S EASTERN AVE STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89123-2906
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Country | US
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Telephone | 702-752-9973
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Fax |
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Provider Business Mailing Address
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Address Line | 8565 S EASTERN AVE STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89123-2906
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Country | US
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Telephone | 702-752-9973
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. JODY L. MARSHALL
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Credential | LCPC, LCADC-S
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Telephone | 702-217-5639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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