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General NPI Number Information
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NPI Number | 1346002581
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Entity Type | Organization
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Legal Business Name | DOVE'S HEART COUNSELING, LLC
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 7800 W OUTER DRIVE SUITE LL04
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City | DETROIT
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State | MI
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Zip | 48235-3461
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Country | US
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Telephone | 734-255-4000
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Fax | 313-766-5882
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Provider Business Mailing Address
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Address Line | PO BOX 972844
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City | YPSILANTI
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State | MI
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Zip | 48197-0323
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Country | US
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Telephone | 734-255-4000
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Fax | 313-766-5882
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Authorized Official
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Title or Position | OWNER
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Name | DR. REBEKAH DOVE MONTGOMERY
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Credential | PHD, LPC-S
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Telephone | 734-255-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 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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