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General NPI Number Information
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NPI Number | 1285558619
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Entity Type | Organization
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Legal Business Name | THIS MILLENNIUM PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 315 W ALLEGAN ST STE A10234
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City | LANSING
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State | MI
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Zip | 48901-5580
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Country | US
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Telephone | 517-500-3821
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Fax |
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Provider Business Mailing Address
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Address Line | 315 W ALLEGAN ST UNIT 10234
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City | LANSING
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State | MI
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Zip | 48901-5510
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Country | US
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Telephone | 517-500-3821
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | SHERRIE TERESE STEWART
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Credential | LIMITED LICENSED PSY
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Telephone | 517-662-7079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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