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General NPI Number Information
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NPI Number | 1477404804
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Entity Type | Organization
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Legal Business Name | MIND OVER MATTER COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 608 HIGHWAY H
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City | TROY
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State | MO
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Zip | 63379-3138
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Country | US
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Telephone | 636-614-9123
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Fax | 866-514-7633
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Provider Business Mailing Address
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Address Line | 608 HIGHWAY H
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City | TROY
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State | MO
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Zip | 63379-3138
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Country | US
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Telephone | 636-614-9123
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Fax | 866-514-7633
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR, THERAPIST
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Name | MICHELLE YOUNG
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Credential | LPC
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Telephone | 636-614-9123
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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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