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General NPI Number Information
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NPI Number | 1295494706
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Entity Type | Organization
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Legal Business Name | SYNERGY MENTAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 12/12/2021
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 1021 REVERE DR
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City | BOWLING GREEN
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State | OH
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Zip | 43402-1224
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Country | US
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Telephone | 419-556-6807
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Fax | 419-643-9210
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Provider Business Mailing Address
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Address Line | 2111 E WOOSTER ST STE A1
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City | BOWLING GREEN
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State | OH
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Zip | 43402-9083
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Country | US
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Telephone | 419-575-5830
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RANIA HAYNES
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Credential | MA, LPCC-S, CCLS
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Telephone | 419-575-5830
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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 |
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License Number State |
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