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General NPI Number Information
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NPI Number | 1518801638
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Entity Type | Organization
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Legal Business Name | NEW CREATIONS LLC 1111
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 212 MAPLE ST
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City | MYRTLE POINT
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State | OR
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Zip | 97458-1041
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Country | US
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Telephone | 541-404-3689
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Fax |
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Provider Business Mailing Address
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Address Line | 5023 W APGAR ST
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City | MERIDIAN
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State | ID
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Zip | 83646-1799
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Country | US
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Telephone | 541-404-3689
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Fax |
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Authorized Official
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Title or Position | OWNER-THERAPIST
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Name | MS. RACHELLE ROSE CHEVALIER
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Credential | LMFT
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Telephone | 987-230-5571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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