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General NPI Number Information
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NPI Number | 1326705674
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Entity Type | Organization
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Legal Business Name | STARLING PSYCHOTHERAPY SERVICES, LLC
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Dates
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Enumeration Date | 11/22/2021
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 2535 E MOUNT HOPE AVE
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City | LANSING
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State | MI
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Zip | 48910-1913
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Country | US
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Telephone | 810-331-0506
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Fax |
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Provider Business Mailing Address
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Address Line | 1419 PROSPECT ST
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City | LANSING
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State | MI
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Zip | 48912-2000
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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 | BARBARA STARLING
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Credential | LMSW
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Telephone | 810-331-0506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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