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General NPI Number Information
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NPI Number | 1376024448
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Entity Type | Organization
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Legal Business Name | LIZ ALLRICH COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 535 FORTUNE DR STE 150
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City | PAPILLION
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State | NE
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Zip | 68046-3428
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Country | US
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Telephone | 904-535-8070
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Fax |
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Provider Business Mailing Address
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Address Line | 12560 S 80TH ST
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City | PAPILLION
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State | NE
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Zip | 68046-4683
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Country | US
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Telephone | 904-535-8070
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | ALICE ELIZABETH ALLRICH
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Credential | LMHP, CPC
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Telephone | 904-535-8070
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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 | 5097
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License Number State | NE
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