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General NPI Number Information
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NPI Number | 1447119342
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Entity Type | Organization
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Legal Business Name | DARA BEHAVIORAL SOLUTIONS
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Dates
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Enumeration Date | 01/17/2026
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 489 S MAIN ST
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City | PLYMOUTH
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State | MI
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Zip | 48170-1708
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Country | US
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Telephone | 734-210-2684
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Fax |
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Provider Business Mailing Address
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Address Line | 489 S MAIN ST
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City | PLYMOUTH
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State | MI
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Zip | 48170-1708
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Country | US
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Telephone | 734-210-2684
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TINA MARIE WHEELER
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Credential | MS, LLP
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Telephone | 734-645-7438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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