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General NPI Number Information
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NPI Number | 1417771783
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Entity Type | Organization
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Legal Business Name | COMFORT CORNER THERAPY AND CONSULTATION LLC
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 12/07/2024
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Provider Practice Location Address
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Address Line | 3357 GOLDEN MEADOW CT
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City | POWELL
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State | OH
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Zip | 43065-5163
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Country | US
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Telephone | 614-356-7788
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Fax |
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Provider Business Mailing Address
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Address Line | 1747 OLENTANGY RIVER RD # 1018
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City | COLUMBUS
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State | OH
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Zip | 43212-1453
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Country | US
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Telephone | 614-356-7788
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Fax |
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Authorized Official
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Title or Position | OWNER AND LEAD THERAPIST
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Name | SAKIERA MALONE
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Credential | LCSW
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Telephone | 216-236-4904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102X00000X
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Taxonomy Name | Poetry Therapist
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #6
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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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