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General NPI Number Information
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NPI Number | 1437744141
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Entity Type | Organization
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Legal Business Name | OVER THE HORIZON COUNSELING LLC
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 05/28/2021
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Provider Practice Location Address
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Address Line | 11365 HWY 213 431 NORTH
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City | MERIDIANVILLE
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State | AL
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Zip | 35759-2147
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Country | US
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Telephone | 256-850-4091
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Fax | 256-970-1643
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Provider Business Mailing Address
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Address Line | 230 SILVERWOOD LN
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City | HAZEL GREEN
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State | AL
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Zip | 35750-8698
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Country | US
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Telephone | 256-850-4091
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Fax | 256-970-1643
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Authorized Official
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Title or Position | OWNER
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Name | BARBARA POWELL
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Credential | LICSW
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Telephone | 256-850-4091
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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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