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General NPI Number Information
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NPI Number | 1275410078
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE EQUINE THERAPY AND CONSULTING LLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 24316 THACH RD
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City | ELKMONT
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State | AL
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Zip | 35620-3706
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Country | US
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Telephone | 256-762-3744
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Fax | 256-262-7967
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Provider Business Mailing Address
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Address Line | 24316 THACH RD
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City | ELKMONT
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State | AL
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Zip | 35620-3706
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Country | US
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Telephone | 256-762-3744
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Fax | 256-262-7967
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | MS. JENNI AKINS
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Credential | LICSW
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Telephone | 256-762-3744
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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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