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General NPI Number Information
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NPI Number | 1396480109
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Entity Type | Organization
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Legal Business Name | SET APART COUNSELING LLC
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Dates
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Enumeration Date | 05/05/2022
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 3110 GOULDEN ST
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City | PORT HURON
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State | MI
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Zip | 48060-6934
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Country | US
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Telephone | 810-956-9483
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Fax |
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Provider Business Mailing Address
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Address Line | 3110 GOULDEN ST
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City | PORT HURON
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State | MI
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Zip | 48060-6934
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Country | US
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Telephone | 810-956-9483
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LYNDA ROSS
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Credential | MA, LPC-S, NCC
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Telephone | 810-956-9483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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