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General NPI Number Information
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NPI Number | 1447058870
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Entity Type | Organization
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Legal Business Name | THERAPIST PARIS, LLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 4799 RIVER RD
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City | BUHL
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State | ID
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Zip | 83316-5104
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Country | US
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Telephone | 541-787-1304
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Fax |
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Provider Business Mailing Address
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Address Line | 5250 IROQUOIS CT
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City | CLARKSTON
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State | MI
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Zip | 48348-3012
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PARIS CONWELL
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Credential | LPC
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Telephone | 541-787-1304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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