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NPI 1427741321

NPI 1427741321 : COMBS COUNSELING & COACHING : ELIZABETHTOWN, KY

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General NPI Number Information
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    NPI Number           |    1427741321
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMBS COUNSELING & COACHING 
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Dates
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    Enumeration Date     |    05/29/2023
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    Last Update Date     |    07/07/2023
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Provider Practice Location Address
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    Address Line         |    1100 RING RD 
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    City                 |    ELIZABETHTOWN
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    State                |    KY
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    Zip                  |    42701-5926
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    Country              |    US
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    Telephone            |    859-803-4121
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    103 SEABISCUIT CT 
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    City                 |    ELIZABETHTOWN
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    State                |    KY
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    Zip                  |    42701-4423
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    Country              |    US
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    Telephone            |    859-803-4121
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |     CARLA J. COMBS 
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    Credential           |    LMFT
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    Telephone            |    859-803-4121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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