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General NPI Number Information
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NPI Number | 1528454469
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Entity Type | Organization
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Legal Business Name | LP COUNSELING L.L.C.
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Dates
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Enumeration Date | 04/07/2015
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Last Update Date | 04/07/2015
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Provider Practice Location Address
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Address Line | 29856 SCHOENHERR RD STE 2
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City | WARREN
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State | MI
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Zip | 48088-3600
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Country | US
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Telephone | 586-215-0376
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Fax |
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Provider Business Mailing Address
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Address Line | 29856 SCHOENHERR RD STE 2
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City | WARREN
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State | MI
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Zip | 48088-3600
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Country | US
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Telephone | 586-215-0376
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MS. ELIZABETH MARIE PORTER
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Credential | LPC
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Telephone | 586-215-0376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | MI
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