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General NPI Number Information
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NPI Number | 1396548814
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Entity Type | Organization
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Legal Business Name | AND STILL I RISE THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 694 STILLWATER DRIVE
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City | PARIS
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State | TN
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Zip | 38242-3824
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Country | US
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Telephone | 731-431-8352
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Fax |
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Provider Business Mailing Address
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Address Line | 694 STILLWATER DRIVE
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City | PARIS
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State | TN
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Zip | 38242-3824
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Country | US
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Telephone | 731-431-8352
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Fax |
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Authorized Official
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Title or Position | THERAPIST AND OWNER
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Name | BARBARA REYNOLDS-VOWELL
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Credential | LCSW
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Telephone | 731-431-8352
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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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