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General NPI Number Information
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NPI Number | 1508428251
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Entity Type | Organization
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Legal Business Name | LIVE YOUR LIFE COUNSELING & TREATMENT SERVICES LLC
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Dates
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Enumeration Date | 07/02/2019
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 653 S SAGINAW ST
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City | FLINT
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State | MI
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Zip | 48502-1512
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Country | US
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Telephone | 703-782-9298
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Fax |
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Provider Business Mailing Address
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Address Line | 11426 DAVIS ST UNIT 1032
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City | GRAND BLANC
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State | MI
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Zip | 48480-8542
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LMSW
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Name | MRS. LEVAUGHN WESTBROOK
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Credential |
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Telephone | 703-782-9298
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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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