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General NPI Number Information
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NPI Number | 1306318555
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Entity Type | Organization
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Legal Business Name | NEW DIRECTION FOR WELLNESS CENTER
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Dates
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Enumeration Date | 12/28/2018
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 5855 TOPANGA CANYON BLVD STE 510
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-4681
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Country | US
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Telephone | 818-699-2580
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Fax | 877-685-9837
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Provider Business Mailing Address
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Address Line | 4760 CERRILLOS DR
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-5014
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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 | FARIBA BEIK
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Credential | LCSW
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Telephone | 818-699-2580
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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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