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General NPI Number Information
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NPI Number | 1518354471
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Entity Type | Organization
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Legal Business Name | TC COUNSELING TRANSFORMATIONS, PLLC
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Dates
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Enumeration Date | 04/17/2015
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Last Update Date | 11/22/2016
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Provider Practice Location Address
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Address Line | 58089 MAIN ST
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City | NEW HAVEN
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State | MI
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Zip | 48048-2697
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Country | US
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Telephone | 586-604-9101
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Fax | 586-690-4902
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Provider Business Mailing Address
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Address Line | 58089 MAIN ST
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City | NEW HAVEN
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State | MI
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Zip | 48048-2697
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Country | US
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Telephone | 586-604-9101
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Fax | 586-690-4902
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Authorized Official
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Title or Position | OWNER & LICENSED PROFESSIONAL COUNS
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Name | ERIKA COLLINS
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Credential |
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Telephone | 586-604-9101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401011891
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License Number State | MI
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