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General NPI Number Information
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NPI Number | 1407430226
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Entity Type | Organization
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Legal Business Name | CARE COUNSELING, LLC
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Dates
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Enumeration Date | 05/07/2021
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Last Update Date | 05/07/2021
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Provider Practice Location Address
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Address Line | 39111 6 MILE RD
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City | LIVONIA
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State | MI
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Zip | 48152-3926
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Country | US
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Telephone | 124-898-2112
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Fax |
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Provider Business Mailing Address
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Address Line | 15540 HIDDEN LN
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City | LIVONIA
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State | MI
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Zip | 48154-3275
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Country | US
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Telephone | 124-898-2111
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. IBRAHIM ELIAS ATALLAH
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Credential | LPC
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Telephone | 248-982-1112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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