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General NPI Number Information
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NPI Number | 1275411928
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Entity Type | Organization
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Legal Business Name | AN ANOINTED TOUCH RECOVERY CENTER 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 | 117 GRANARY APT 107
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City | COLUMBUS
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State | OH
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Zip | 43207-5282
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Country | US
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Telephone | 220-242-0706
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Fax |
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Provider Business Mailing Address
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Address Line | 117 GRANARY APT 107
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City | COLUMBUS
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State | OH
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Zip | 43207-5282
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Country | US
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Telephone | 220-242-0706
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ROCHELLE NICOLE SPARKS
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Credential | MA, LMSW, LICDC
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Telephone | 220-242-0706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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