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General NPI Number Information
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NPI Number | 1255197497
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Entity Type | Organization
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Legal Business Name | BEAUTY IN LIFE COUNSELING LLC
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 21366 HALL RD # 1199
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1539
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Country | US
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Telephone | 313-444-8411
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Fax |
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Provider Business Mailing Address
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Address Line | 21366 HALL RD # 1199
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1539
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Country | US
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Telephone | 313-444-8411
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DESIREE ALLEN
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Credential |
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Telephone | 313-444-8411
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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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