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General NPI Number Information
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NPI Number | 1497186225
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Entity Type | Organization
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Legal Business Name | HOPE AND HEALING FAMILY COUNSELING , LLC
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Dates
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Enumeration Date | 12/04/2013
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 2499 RICE ST STE 70
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City | ROSEVILLE
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State | MN
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Zip | 55113-3724
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Country | US
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Telephone | 651-246-4070
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Fax |
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Provider Business Mailing Address
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Address Line | 2499 RICE ST STE 70
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City | ROSEVILLE
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State | MN
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Zip | 55113-3724
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Country | US
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Telephone | 651-246-4070
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST/CO-OWNER
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Name | SARA RANSSI
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Credential | LICSW
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Telephone | 651-246-4070
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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 | 19278
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License Number State | MN
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