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General NPI Number Information
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NPI Number | 1518441583
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Entity Type | Organization
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Legal Business Name | ELIZABETH SIMPSON PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 09/17/2018
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 201 STATE ST FL 2
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City | CHARLEVOIX
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State | MI
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Zip | 49720-1371
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Country | US
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Telephone | 231-497-9288
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Fax | 231-308-5903
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Provider Business Mailing Address
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Address Line | 201 STATE ST FL 2
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City | CHARLEVOIX
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State | MI
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Zip | 49720-1371
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Country | US
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Telephone | 231-497-9288
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Fax | 231-308-5903
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH H SIMPSON
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Credential | LMFT
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Telephone | 231-497-9288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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