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General NPI Number Information
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NPI Number | 1467223826
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Entity Type | Organization
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Legal Business Name | INNER ALCHEMY ART AND THERAPY, LLC
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 3910 CAUGHEY RD STE 200
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City | ERIE
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State | PA
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Zip | 16506-4098
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Country | US
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Telephone | 814-273-6756
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Fax |
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Provider Business Mailing Address
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Address Line | 1842 HIGH ST
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City | ERIE
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State | PA
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Zip | 16509-1761
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Country | US
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Telephone | 724-766-1579
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | SHELBY NEAL
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Credential | LPC
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Telephone | 814-273-6756
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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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