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General NPI Number Information
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NPI Number | 1366234395
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Entity Type | Organization
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Legal Business Name | GOOD NEWS COUNSELING PROFESSIONAL LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 05/17/2025
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 604 LIBERTY ST STE 133
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City | PELLA
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State | IA
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Zip | 50219-1776
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Country | US
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Telephone | 641-230-9093
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Fax |
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Provider Business Mailing Address
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Address Line | 604 LIBERTY ST STE 133
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City | PELLA
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State | IA
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Zip | 50219-1776
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Country | US
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Telephone | 641-230-9093
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | STALIN GEORGE
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Credential | L.M.H.C
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Telephone | 641-230-9093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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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