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General NPI Number Information
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NPI Number | 1477039055
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Entity Type | Organization
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Legal Business Name | FAITH SOARS COUNSELING
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 24681 NORTHWESTERN HWY STE 303
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2322
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Country | US
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Telephone | 313-365-0958
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Fax |
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Provider Business Mailing Address
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Address Line | 19183 TRINITY ST
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City | DETROIT
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State | MI
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Zip | 48219-1947
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Country | US
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Telephone | 313-909-6139
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. SHAAREE PRESLEY
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Credential |
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Telephone | 313-365-0958
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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 |
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License Number State |
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