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General NPI Number Information
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NPI Number | 1225377047
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Entity Type | Organization
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Legal Business Name | AMITY CIRCLE COUNSELING SERVICES
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 6797 N HIGH ST #155
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City | WORTHINGTON
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State | OH
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Zip | 43085-2533
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Country | US
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Telephone | 614-886-1238
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Fax | 740-524-2010
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Provider Business Mailing Address
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Address Line | 6797 N HIGH ST #155
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City | WORTHINGTON
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State | OH
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Zip | 43085-2533
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Country | US
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Telephone | 614-886-1238
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Fax | 740-524-2010
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MRS. TANYA MAY MCLYMONT-MITCHELL
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Credential | LPCC
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Telephone | 614-886-1238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E0600702
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License Number State | OH
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