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General NPI Number Information
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NPI Number | 1235915208
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Entity Type | Organization
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Legal Business Name | UNLEASHED COUNSELING LLC
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 1335 M ST
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City | GERING
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State | NE
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Zip | 69341-2800
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Country | US
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Telephone | 308-672-9952
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 M ST
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City | GERING
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State | NE
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Zip | 69341-2800
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Country | US
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Telephone | 308-672-9952
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Fax |
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Authorized Official
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Title or Position | OWNER/PLMHP
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Name | APRIL HIEATT
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Credential | PLMHP
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Telephone | 308-672-9952
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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 |
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License Number State |
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