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General NPI Number Information
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NPI Number | 1295459287
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Entity Type | Organization
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Legal Business Name | RETURNING TO CENTER
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 2135 BELDING CT
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City | OKEMOS
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State | MI
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Zip | 48864-3648
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Country | US
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Telephone | 248-533-0205
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Fax |
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Provider Business Mailing Address
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Address Line | 8621 CASS RIVER DR
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City | FOWLERVILLE
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State | MI
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Zip | 48836-9061
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HANNAH HENRY
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Credential | LPC, MA
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Telephone | 248-535-0205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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