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General NPI Number Information
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NPI Number | 1467324434
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Entity Type | Organization
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Legal Business Name | SOUTHWEST COUNSELING SOLUTIONS
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1700 WATERMAN ST
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City | DETROIT
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State | MI
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Zip | 48209-2022
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Country | US
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Telephone | 313-841-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 5716 MICHIGAN AVE STE 3100
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City | DETROIT
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State | MI
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Zip | 48210-3039
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Country | US
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Telephone | 313-963-2266
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL INFORMATICS
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Name | AMPHY LILIBET NEGRON
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Credential |
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Telephone | 313-963-2266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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