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General NPI Number Information
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NPI Number | 1225515919
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Entity Type | Organization
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Legal Business Name | VISIONS ART THERAPY, COUNSELING & METAPHYSICAL HEALING LLC
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 1826 DUNELLON DR
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City | LYNDHURST
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State | OH
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Zip | 44124-3921
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Country | US
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Telephone | 216-533-6217
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Fax |
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Provider Business Mailing Address
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Address Line | 1826 DUNELLON DR
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City | LYNDHURST
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State | OH
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Zip | 44124-3921
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Country | US
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Telephone | 215-533-6217
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MRS. MICHELLE ANN PAZICNI
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Credential | LPCC, ATR
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Telephone | 216-533-6217
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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 | E.1700206
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License Number State | OH
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