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General NPI Number Information
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NPI Number | 1295243293
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Entity Type | Organization
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Legal Business Name | INTEGRITY COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 17344 W 12 MILE RD STE 206
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City | SOUTHFIELD
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State | MI
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Zip | 48076-6321
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Country | US
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Telephone | 734-829-7573
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 930245
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City | WIXOM
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State | MI
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Zip | 48393-0245
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Country | US
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Telephone | 734-829-7573
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. KIMBERLY RICE
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Credential | LPC
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Telephone | 734-829-7573
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 6401012245
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License Number State | MI
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