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General NPI Number Information
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NPI Number | 1396243143
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Entity Type | Individual
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Provider Name | MOLLY OKEON LPC-MHSP
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Gender | Female
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 1355B LYNNFIELD RD STE 245
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City | MEMPHIS
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State | TN
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Zip | 38119-5829
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Country | US
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Telephone | 901-237-7692
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Fax |
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Provider Business Mailing Address
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Address Line | 3842 MONTCLAIR DR
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City | MEMPHIS
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State | TN
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Zip | 38111-6943
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Country | US
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Telephone | 901-237-7692
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4160
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License Number State | TN
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