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NPI 1538781646

NPI 1538781646 : AMANI COUNSELING, LLC : DAYTON, OH

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General NPI Number Information
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    NPI Number           |    1538781646
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMANI COUNSELING, LLC 
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Dates
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    Enumeration Date     |    05/12/2020
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    Last Update Date     |    06/11/2025
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Provider Practice Location Address
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    Address Line         |    3085 WOODMAN DR STE 380 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45420-1171
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    Country              |    US
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    Telephone            |    937-230-1058
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    Fax                  |    937-938-6578
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Provider Business Mailing Address
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    Address Line         |    3541 DAYTON XENIA RD UNIT 340358 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45434-7516
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    Country              |    US
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    Telephone            |    937-230-1058
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    Fax                  |    937-912-9090
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Authorized Official
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    Title or Position    |    THERAPIST
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    Name                 |    MS. DESPINA  COSTANDINIDIS 
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    Credential           |    MSW, LISW-S
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    Telephone            |    937-572-7028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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