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General NPI Number Information
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NPI Number | 1215714894
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Entity Type | Organization
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Legal Business Name | THE EMPOWERMENT SPOT, LLC
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 13422 CLAYTON RD STE 220
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City | SAINT LOUIS
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State | MO
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Zip | 63131-1008
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Country | US
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Telephone | 314-936-6105
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Fax |
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Provider Business Mailing Address
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Address Line | 436 COUCH AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63122-5417
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDSAY SIMONS
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Credential |
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Telephone | 314-610-9122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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