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General NPI Number Information
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NPI Number | 1386550374
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Entity Type | Organization
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Legal Business Name | FIRE WITHIN THERAPY
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 40666 HWY 75, SOUTH
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City | ALTOONA
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State | AL
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Zip | 35952
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Country | US
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Telephone | 205-881-2646
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Fax |
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Provider Business Mailing Address
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Address Line | 40666 HWY 75, SOUTH
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City | ALTOONA
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State | AL
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Zip | 35952
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Country | US
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Telephone | 205-881-2646
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JENNIFER DOTY
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Credential | LMFT
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Telephone | 205-446-5580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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