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General NPI Number Information
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NPI Number | 1396456265
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Entity Type | Organization
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Legal Business Name | SEEDS OF HOPE CHILD & YOUTH SERVICES, LLC
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Dates
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Enumeration Date | 12/12/2022
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 246 MAIN ST STE C
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City | BYESVILLE
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State | OH
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Zip | 43723-1366
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Country | US
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Telephone | 740-340-1174
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Fax |
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Provider Business Mailing Address
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Address Line | 246 MAIN ST STE C
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City | BYESVILLE
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State | OH
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Zip | 43723-1366
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Country | US
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Telephone | 740-340-1174
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | MARLAYNA DAWN ADAMIC
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Credential | LISW-S
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Telephone | 740-340-1174
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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 |
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License Number State |
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