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General NPI Number Information
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NPI Number | 1285241463
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Entity Type | Organization
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Legal Business Name | HEINLEN COUNSELING PLLC
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 3181 PRAIRIE ST SW STE 104
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City | GRANDVILLE
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State | MI
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Zip | 49418-2076
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Country | US
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Telephone | 616-537-2872
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Fax |
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Provider Business Mailing Address
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Address Line | 3181 PRAIRIE ST SW STE 104
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City | GRANDVILLE
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State | MI
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Zip | 49418-2076
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Country | US
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Telephone | 616-537-2872
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MRS. JANICE IRENE HEINLEN
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Credential | LPC
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Telephone | 616-537-2872
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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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