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General NPI Number Information
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NPI Number | 1336808344
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Entity Type | Organization
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Legal Business Name | SAFE PLACE COUNSELING LLC
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Dates
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Enumeration Date | 12/17/2021
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 203 E MAIN ST
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City | NEW HOLLAND
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State | PA
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Zip | 17557-1321
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Country | US
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Telephone | 717-723-9578
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Fax | 223-244-5298
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Provider Business Mailing Address
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Address Line | 203 E MAIN ST
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City | NEW HOLLAND
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State | PA
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Zip | 17557-1321
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Country | US
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Telephone | 717-239-5787
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Fax | 223-244-5298
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JULIE M KOWALSKI
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Credential | MA, LPC
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Telephone | 717-723-9578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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