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General NPI Number Information
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NPI Number | 1255004644
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Entity Type | Organization
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Legal Business Name | MISS BARBARA THERAPY LLC
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 4030 MOUNT CARMEL TOBASCO RD STE 214
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City | CINCINNATI
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State | OH
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Zip | 45255-3431
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Country | US
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Telephone | 513-318-4361
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Fax | 513-843-7516
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Provider Business Mailing Address
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Address Line | 1149 WELLESLEY AVE
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City | BATAVIA
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State | OH
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Zip | 45103-2577
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Country | US
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Telephone | 216-925-2964
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Fax | 513-843-7516
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Authorized Official
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Title or Position | OWNER
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Name | BARBARA J DAVIS
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Credential | LPCC-S
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Telephone | 513-318-4361
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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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