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General NPI Number Information
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NPI Number | 1316700495
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Entity Type | Organization
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Legal Business Name | WINDS OF CHANGE MARRIAGE AND FAMILY THERAPY, LLC.
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 600 WEST EVERLY BROTHERS BLVD
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City | CENTRAL CITY
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State | KY
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Zip | 42330-0601
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Country | US
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Telephone | 270-499-8268
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Fax | 270-803-0670
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Provider Business Mailing Address
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Address Line | 600 WEST EVERLY BROTHERS BLVD
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City | CENTRAL CITY
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State | KY
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Zip | 42330-0601
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Country | US
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Telephone | 270-499-8268
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Fax | 270-803-0670
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | AMANDA SYBIL CECIL
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Credential | LCSW, MFT, MSSW
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Telephone | 270-499-8268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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