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NPI 1407625080

NPI 1407625080 : QUESTIONS & EXPLORATION THERAPY, LLC : SOUTHGATE, MI

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General NPI Number Information
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    NPI Number           |    1407625080
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    Entity Type          |    Organization 
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    Legal Business Name  |    QUESTIONS & EXPLORATION THERAPY, LLC 
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Dates
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    Enumeration Date     |    12/25/2023
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    Last Update Date     |    12/25/2023
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Provider Practice Location Address
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    Address Line         |    12421 FIRST AVE S 
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    City                 |    SOUTHGATE
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    State                |    MI
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    Zip                  |    48195-3541
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    Country              |    US
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    Telephone            |    734-224-2520
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1542 
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    City                 |    SOUTHGATE
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    State                |    MI
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    Zip                  |    48195-0542
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    Country              |    US
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    Telephone            |    734-224-2520
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LICENSED MASTERS SOCIAL WORKER CLIN
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    Name                 |     ALEXANDER D SIMMONS 
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    Credential           |    LMSW-C
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    Telephone            |    734-224-2520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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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        |    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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