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NPI 1508660036

NPI 1508660036 : NATURAL CONNECTIONS COUNSELING LLC : SIREN, WI

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General NPI Number Information
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    NPI Number           |    1508660036
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    Entity Type          |    Organization 
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    Legal Business Name  |    NATURAL CONNECTIONS COUNSELING LLC 
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Dates
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    Enumeration Date     |    04/03/2025
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    Last Update Date     |    05/15/2025
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Provider Practice Location Address
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    Address Line         |    24178 1ST AVE STE 2 
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    City                 |    SIREN
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    State                |    WI
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    Zip                  |    54872-8220
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    Country              |    US
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    Telephone            |    715-256-7559
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    Fax                  |    877-869-0712
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Provider Business Mailing Address
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    Address Line         |    PO BOX 218 
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    City                 |    SIREN
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    State                |    WI
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    Zip                  |    54872-0218
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    Country              |    US
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    Telephone            |    715-256-7559
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    Fax                  |    877-869-0712
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     BECKY  PETERSON 
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    Credential           |    
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    Telephone            |    715-256-7559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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