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General NPI Number Information
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NPI Number | 1407642077
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Entity Type | Organization
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Legal Business Name | LOVE AND LIGHT COUNSELING LLC
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 32901 23 MILE RD STE 100
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City | CHESTERFIELD
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State | MI
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Zip | 48047-4032
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Country | US
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Telephone | 586-884-1596
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Fax |
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Provider Business Mailing Address
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Address Line | 11828 19 MILE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-2405
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Country | US
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Telephone | 586-665-0790
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLEY DAWN HOUGH
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Credential | MA, LPC
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Telephone | 586-665-0790
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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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