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General NPI Number Information
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NPI Number | 1356949705
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Entity Type | Organization
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Legal Business Name | AKOBEN COUNSELING & CONSULTING
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Dates
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Enumeration Date | 10/16/2020
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 11000 W MCNICHOLS RD # 323-1194
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City | DETROIT
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State | MI
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Zip | 48221-2357
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Country | US
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Telephone | 313-365-0975
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Fax |
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Provider Business Mailing Address
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Address Line | 11000 W MCNICHOLS RD # 323-1194
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City | DETROIT
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State | MI
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Zip | 48221-2357
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Country | US
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Telephone | 313-365-0975
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | BIONCA M TAYLOR-MILLER
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Credential | MA, LPC
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Telephone | 313-365-0975
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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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