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General NPI Number Information
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NPI Number | 1205712502
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Entity Type | Organization
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Legal Business Name | FEEL ALIGN FLOURISH & OVERCOME THERAPY GROUP PLLC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 2205 FALLS AVE STE 1
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City | WATERLOO
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State | IA
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Zip | 50701-5705
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Country | US
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Telephone | 319-209-5193
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 FALLS AVE STE 1
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City | WATERLOO
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State | IA
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Zip | 50701-5705
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Country | US
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Telephone | 319-209-5193
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STACEY HOTH
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Credential | TLMHC
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Telephone | 319-209-5193
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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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