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General NPI Number Information
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NPI Number | 1245128735
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Entity Type | Organization
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Legal Business Name | SEASONS OF LIFE COUNSELING, LLC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 2405 S 130TH CIR
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City | OMAHA
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State | NE
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Zip | 68144-2528
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Country | US
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Telephone | 402-618-0085
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Fax |
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Provider Business Mailing Address
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Address Line | 2405 S 130TH CIR
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City | OMAHA
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State | NE
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Zip | 68144-2528
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Country | US
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Telephone | 402-618-0085
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL GREEN
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Credential | MS, LMHP
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Telephone | 402-618-0085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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