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General NPI Number Information
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NPI Number | 1538761317
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Entity Type | Organization
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Legal Business Name | WELLNESS HOUR COUNSELING CENTER, PLLC
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 44990 HEYDENREICH RD STE D
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1558
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Country | US
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Telephone | 586-372-9846
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Fax |
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Provider Business Mailing Address
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Address Line | 44990 HEYDENREICH RD STE D
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1558
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Country | US
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Telephone | 586-372-9846
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL THERAPIST
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Name | MRS. SAMANTHA COYNE
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Credential | LMSW
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Telephone | 586-372-9846
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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