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General NPI Number Information
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NPI Number | 1265105589
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Entity Type | Organization
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Legal Business Name | SHINING MINDS COUNSELING SERVICES
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 2712 20TH STREET ENSLEY
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City | BIRMINGHAM
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State | AL
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Zip | 35208-2204
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Country | US
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Telephone | 205-285-3091
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Fax |
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Provider Business Mailing Address
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Address Line | 2712 20TH STREET ENSLEY
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City | BIRMINGHAM
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State | AL
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Zip | 35208-2204
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Country | US
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Telephone | 205-285-3091
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER/CO-OWNER
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Name | ASHLEY MARIE STRINGER
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Credential | LICSW
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Telephone | 205-285-3091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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