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General NPI Number Information
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NPI Number | 1215638150
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Entity Type | Organization
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Legal Business Name | LIFE IN RELATION, LLC
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 7000 SW HAMPTON ST STE 125
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City | TIGARD
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State | OR
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Zip | 97223-8361
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Country | US
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Telephone | 503-550-5089
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Fax | 202-908-5389
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Provider Business Mailing Address
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Address Line | 7000 SW HAMPTON ST STE 125
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City | TIGARD
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State | OR
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Zip | 97223-8361
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Country | US
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Telephone | 503-550-5089
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Fax | 202-908-5389
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | HOLLY SUZANNE GARRETT
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Credential | LPC
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Telephone | 503-550-5089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health 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 | 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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