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General NPI Number Information
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NPI Number | 1215662580
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Entity Type | Organization
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Legal Business Name | ST JOE THERAPIST LLC
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 1202 VILLAGE DR
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-3042
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Country | US
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Telephone | 816-237-0166
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Fax | 816-379-3751
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Provider Business Mailing Address
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Address Line | 1202 VILLAGE DR
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-3042
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Country | US
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Telephone | 816-237-0166
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Fax | 816-379-3751
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Authorized Official
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Title or Position | OWNER AND THERAPIST
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Name | MR. JOSEPH M KLINE
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Credential | MSW, LCSW, LSCSW
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Telephone | 816-237-0166
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health 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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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