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NPI 1457861221

NPI 1457861221 : HAVEN OF REST MINISTRIES OF BATTLE CREEK : BATTLE CREEK, MI

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General NPI Number Information
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    NPI Number           |    1457861221
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAVEN OF REST MINISTRIES OF BATTLE CREEK 
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Dates
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    Enumeration Date     |    10/06/2017
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    Last Update Date     |    03/27/2024
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Provider Practice Location Address
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    Address Line         |    11 GREEN ST 
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    City                 |    BATTLE CREEK
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    State                |    MI
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    Zip                  |    49014-4028
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    Country              |    US
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    Telephone            |    269-788-0975
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11 GREEN ST 
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    City                 |    BATTLE CREEK
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    State                |    MI
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    Zip                  |    49014-4028
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    Country              |    US
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    Telephone            |    269-788-0975
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MR. DANIEL NATHAN JONES 
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    Credential           |    
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    Telephone            |    269-788-0975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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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        |    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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Taxonomy #3
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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