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General NPI Number Information
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NPI Number | 1407231996
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Entity Type | Organization
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Legal Business Name | CENTER FOR COUNSELING AND PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 07/25/2015
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 721 W CENTRE AVE
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City | PORTAGE
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State | MI
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Zip | 49024-5309
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Country | US
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Telephone | 269-779-7577
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Fax | 269-888-2006
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Provider Business Mailing Address
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Address Line | 721 W CENTRE AVE
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City | PORTAGE
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State | MI
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Zip | 49024-5309
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Country | US
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Telephone | 269-779-7577
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Fax | 269-888-2006
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MRS. SHERRI LYNN SWINEHART
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Credential | MSW, LPC, NCC
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Telephone | 269-501-4729
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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Taxonomy #3
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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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