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General NPI Number Information
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NPI Number | 1487269163
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Entity Type | Organization
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Legal Business Name | WEST SKY WELLNESS LLC
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 123 N BRIDGE ST
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City | LINDEN
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State | MI
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Zip | 48451-8824
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Country | US
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Telephone | 248-802-7750
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Fax |
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Provider Business Mailing Address
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Address Line | 292 LAURA LN
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City | LINDEN
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State | MI
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Zip | 48451-8447
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Country | US
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Telephone | 248-802-7750
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Fax |
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Authorized Official
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Title or Position | LMSW
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Name | SARAH BELLE
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Credential |
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Telephone | 248-802-7750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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