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General NPI Number Information
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NPI Number | 1528687753
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Entity Type | Organization
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Legal Business Name | WELL PLANTED COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 1979 RICHMOND DR STE 2
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City | LOUISVILLE
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State | KY
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Zip | 40205-1411
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Country | US
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Telephone | 502-418-8247
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Fax |
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Provider Business Mailing Address
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Address Line | 1039 E KENTUCKY ST
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City | LOUISVILLE
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State | KY
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Zip | 40204-1935
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Country | US
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Telephone | 502-418-8247
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEVE DOUGLAS
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Credential | LPCC
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Telephone | 502-418-8247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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