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General NPI Number Information
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NPI Number | 1356194021
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Entity Type | Organization
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Legal Business Name | RESILIENCE FAMILY COUNSELING, PLLC
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 1560 BOYSON RD STE 2
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City | HIAWATHA
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State | IA
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Zip | 52233-2385
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Country | US
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Telephone | 319-294-9206
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Fax | 319-294-6107
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Provider Business Mailing Address
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Address Line | 1560 BOYSON RD STE 2
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City | HIAWATHA
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State | IA
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Zip | 52233-2385
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Country | US
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Telephone | 319-294-9206
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Fax | 319-294-6107
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | LESLIE KAY DOWNS MULLEN
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Credential | MS
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Telephone | 319-573-5206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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