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General NPI Number Information
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NPI Number | 1265250740
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Entity Type | Organization
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Legal Business Name | LIV WELL THERAPY
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 453 37TH STREET NE
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City | NORTHWOOD
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State | ND
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Zip | 58267
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Country | US
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Telephone | 701-330-9335
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 151
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City | NORTHWOOD
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State | ND
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Zip | 58267-0151
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Country | US
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Telephone | 701-330-9335
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Fax |
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Authorized Official
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Title or Position | OWNER AND PSYCHOTHERAPIST
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Name | JAMIE LYNN SEHRT
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Credential | LCSW
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Telephone | 701-330-9335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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