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General NPI Number Information
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NPI Number | 1306436985
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Entity Type | Organization
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Legal Business Name | OPTION TO SUCCESS INC
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 3155 COMMERCE CENTER PL
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City | LOUISVILLE
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State | KY
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Zip | 40211-1975
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Country | US
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Telephone | 502-384-0091
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Fax |
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Provider Business Mailing Address
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Address Line | 5112 HUNTERS POINT CIR
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City | LOUISVILLE
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State | KY
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Zip | 40216-1486
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Country | US
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Telephone | 502-338-6124
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KRISTY FLIPPINS
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Credential |
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Telephone | 502-338-6124
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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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Taxonomy #2
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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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