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General NPI Number Information
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NPI Number | 1285488981
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Entity Type | Organization
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Legal Business Name | A WAY THROUGH LLC
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Dates
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Enumeration Date | 04/17/2024
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 1016 W SANETTA ST
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City | NAMPA
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State | ID
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Zip | 83651-5047
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Country | US
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Telephone | 208-615-1313
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Fax | 208-960-1775
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Provider Business Mailing Address
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Address Line | 1016 W SANETTA ST
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City | NAMPA
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State | ID
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Zip | 83651-5047
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Country | US
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Telephone | 208-615-1313
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Fax | 208-960-1775
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/OWNER
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Name | DR. BARRY GRANT BROOKS
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Credential | LCPC
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Telephone | 208-615-3567
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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