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General NPI Number Information
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NPI Number | 1407539851
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Entity Type | Organization
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Legal Business Name | NOMI COUNSELING AND ASSESSMENT SERVICES PLLC
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Dates
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Enumeration Date | 08/11/2023
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1821 W HOUGHTON LAKE DR STE C
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City | HOUGHTON LAKE
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State | MI
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Zip | 48629-9388
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Country | US
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Telephone | 231-886-8295
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 W HOUGHTON LAKE DR STE C
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City | HOUGHTON LAKE
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State | MI
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Zip | 48629-9388
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Country | US
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Telephone | 231-886-8295
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL ARLENE GILLMORE
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Credential |
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Telephone | 213-886-8295
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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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