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General NPI Number Information
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NPI Number | 1235786963
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Entity Type | Organization
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Legal Business Name | SPENRATH COUNSELING LLC
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Dates
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Enumeration Date | 08/19/2019
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 89 OLD TROLLEY RD STE 210
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City | SUMMERVILLE
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State | SC
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Zip | 29485-4951
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Country | US
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Telephone | 843-879-8515
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Fax | 877-325-2750
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Provider Business Mailing Address
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Address Line | 260 SEVEN FARMS DR STE C
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City | DANIEL ISLAND
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State | SC
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Zip | 29492-8207
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Country | US
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Telephone | 843-879-8515
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | MRS. LAURA SPENRATH
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Credential |
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Telephone | 843-879-8515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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