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General NPI Number Information
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NPI Number | 1467699272
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Entity Type | Organization
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Legal Business Name | ADKINS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 6001 W CENTER ST SUTIE 208
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City | MILWAUKEE
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State | WI
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Zip | 53210-2154
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Country | US
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Telephone | 414-393-1099
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Fax | 414-393-9773
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Provider Business Mailing Address
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Address Line | 6001 W CENTER ST SUTIE 208
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City | MILWAUKEE
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State | WI
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Zip | 53210-2154
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Country | US
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Telephone | 414-393-1099
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Fax | 414-393-9773
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | MS. MARCELLA SYVILLE ADKINS
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Credential | LPC, SAC-IT
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Telephone | 414-573-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 14841-130
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 4059 125
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License Number State | WI
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