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General NPI Number Information
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NPI Number | 1386145522
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Entity Type | Organization
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Legal Business Name | HELLO DAYLIGHT MENTAL HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 17344 W 12 MILE RD STE 207
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City | SOUTHFIELD
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State | MI
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Zip | 48076-6321
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Country | US
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Telephone | 248-509-4379
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Fax |
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Provider Business Mailing Address
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Address Line | 25494 WAREHAM DR
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City | HUNTINGTON WOODS
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State | MI
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Zip | 48070-1604
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Country | US
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Telephone | 917-568-1746
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | MS. SHARON M YAECKER ROESSER
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Credential | LMSW
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Telephone | 248-509-4379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801091062
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License Number State | MI
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