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General NPI Number Information
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NPI Number | 1417741117
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Entity Type | Organization
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Legal Business Name | EMBER THERAPY COLLECTIVE
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 223 BRIDGE ST STE E
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City | CHARLEVOIX
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State | MI
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Zip | 49720-1400
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Country | US
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Telephone | 734-418-8252
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Fax |
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Provider Business Mailing Address
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Address Line | 1738 W ROSCOE ST APT 2
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City | CHICAGO
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State | IL
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Zip | 60657-7850
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Country | US
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Telephone | 734-418-8252
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | RACHAEL FREEDMAN
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Credential | LMSW
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Telephone | 734-418-8252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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