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General NPI Number Information
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NPI Number | 1427775956
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Entity Type | Organization
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Legal Business Name | CALMING WATERS COUNSELING, PLLC
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 276 LAKE HAVASU AVE S APT B28
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-6519
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Country | US
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Telephone | 928-566-4637
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Fax | 928-863-7078
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Provider Business Mailing Address
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Address Line | 1990 MCCULLOCH BLVD N # D165
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-5749
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Country | US
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Telephone | 928-566-4637
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Fax | 928-863-7078
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | TANYA POWELL
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Credential | MA, LPC
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Telephone | 928-566-4637
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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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