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General NPI Number Information
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NPI Number | 1407537608
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Entity Type | Organization
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Legal Business Name | UNITY COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 109 W MAIN ST
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City | WOODVILLE
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State | OH
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Zip | 43469-1135
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Country | US
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Telephone | 419-819-8428
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Fax |
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Provider Business Mailing Address
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Address Line | 2792 E SAND RD
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City | PORT CLINTON
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State | OH
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Zip | 43452-2743
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Country | US
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Telephone | 419-819-8428
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA BOREMAN
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Credential | LPCC-S
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Telephone | 419-819-8428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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