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General NPI Number Information
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NPI Number | 1295022119
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Entity Type | Organization
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Legal Business Name | TAS CONSULTING & COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 06/29/2011
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Provider Practice Location Address
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Address Line | 19252 MIDWAY RD
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City | SOUTHFIELD
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State | MI
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Zip | 48075-7148
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Country | US
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Telephone | 313-656-7155
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Fax |
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Provider Business Mailing Address
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Address Line | 19252 MIDWAY RD
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City | SOUTHFIELD
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State | MI
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Zip | 48075-7148
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Country | US
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Telephone | 313-656-7155
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | TRACY A STRONG
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Credential | LLPC
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Telephone | 313-656-7155
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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 | 6401010357
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License Number State | MI
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