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General NPI Number Information
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NPI Number | 1376429050
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Entity Type | Organization
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Legal Business Name | STARFISH PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 418 W FRANK ST
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City | CARO
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State | MI
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Zip | 48723-1408
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Country | US
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Telephone | 989-327-4744
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Fax |
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Provider Business Mailing Address
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Address Line | 418 W FRANK ST
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City | CARO
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State | MI
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Zip | 48723-1408
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Country | US
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Telephone | 989-327-4744
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Fax |
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Authorized Official
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Title or Position | OPERATOR/ TRAUMA THERAPIST
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Name | MS. SAMANTHA A BENSON
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Credential | LCSW
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Telephone | 989-701-8301
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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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