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General NPI Number Information
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NPI Number | 1215644406
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Entity Type | Organization
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Legal Business Name | PREPARING FOR TOMORROW COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 10/28/2022
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 649 MAIN ST STE C
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City | GROVEPORT
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State | OH
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Zip | 43125-1420
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Country | US
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Telephone | 614-916-7005
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Fax |
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Provider Business Mailing Address
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Address Line | 649 MAIN ST STE C
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City | GROVEPORT
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State | OH
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Zip | 43125-1420
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Country | US
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Telephone | 614-916-7005
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER/BILLING
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Name | KIMBERLY J WEAVER
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Credential |
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Telephone | 614-916-7005
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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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