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NPI 1215796081

NPI 1215796081 : AS YOU ARE THERAPY LLC : MURFREESBORO, TN

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General NPI Number Information
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    NPI Number           |    1215796081
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    Entity Type          |    Organization 
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    Legal Business Name  |    AS YOU ARE THERAPY LLC 
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Dates
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    Enumeration Date     |    03/15/2024
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    Last Update Date     |    10/01/2024
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Provider Practice Location Address
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    Address Line         |    528 N WALNUT ST 
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    City                 |    MURFREESBORO
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    State                |    TN
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    Zip                  |    37130-2852
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    Country              |    US
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    Telephone            |    615-437-7191
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    528 N WALNUT ST 
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    City                 |    MURFREESBORO
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    State                |    TN
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    Zip                  |    37130-2852
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    Country              |    US
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    Telephone            |    615-437-7191
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO AND FOUNDER
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    Name                 |    DR. NICOLE  BRYANT 
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    Credential           |    LCSW,EDD
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    Telephone            |    909-844-9049
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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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