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General NPI Number Information
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NPI Number | 1285546671
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Entity Type | Individual
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Provider Name | KINSEY PHILLIPS T-LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 12035 UNIVERSITY AVE STE 202
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City | CLIVE
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State | IA
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Zip | 50325-8264
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Country | US
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Telephone | 515-259-0607
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Fax |
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Provider Business Mailing Address
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Address Line | 1022 FLORIDA AVE
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City | AMES
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State | IA
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Zip | 50014-3068
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Country | US
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Telephone | 515-290-9805
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 117022
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License Number State | IA
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