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General NPI Number Information
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NPI Number | 1487546131
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Entity Type | Organization
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Legal Business Name | CLEAR SKIES WELLNESS LLC
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 777 E EISENHOWER PKWY STE 230
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City | ANN ARBOR
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State | MI
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Zip | 48108-3273
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Country | US
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Telephone | 734-215-7036
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Fax |
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Provider Business Mailing Address
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Address Line | 559 ADDINGTON LN
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City | ANN ARBOR
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State | MI
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Zip | 48108-9613
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Country | US
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Telephone | 734-478-9683
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARA LONG
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Credential | LMSW
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Telephone | 734-478-9683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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