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General NPI Number Information
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NPI Number | 1518496421
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HEART CHRISTIAN COUNSELING LLC
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 4714 COMMERCE VALLEY RD STE B
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City | EAU CLAIRE
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State | WI
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Zip | 54701-9033
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Country | US
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Telephone | 715-214-5446
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Fax | 715-895-8431
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Provider Business Mailing Address
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Address Line | 1280 W CLAIREMONT AVE STE 7
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City | EAU CLAIRE
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State | WI
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Zip | 54701-5101
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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 | OWNER/ADMINISTRATOR
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Name | AMY E SEXTON
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Credential | MS, LPC
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Telephone | 715-214-5446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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