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General NPI Number Information
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NPI Number | 1245104504
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Entity Type | Organization
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Legal Business Name | MANAGED HAPPINESS COUNSELING AND WELLNESS LLC
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 9635 CLEVELAND AVE NW # 254
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City | GREENTOWN
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State | OH
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Zip | 44630-9800
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Country | US
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Telephone | 330-313-4148
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Fax |
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Provider Business Mailing Address
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Address Line | 6545 MARKET AVE N STE 100
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City | CANTON
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State | OH
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Zip | 44721-2430
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Country | US
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Telephone | 330-313-4148
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. RAYA TUCKER
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Credential | LPCC-S
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Telephone | 330-313-4148
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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 |
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License Number State |
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