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General NPI Number Information
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NPI Number | 1538828819
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Entity Type | Organization
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Legal Business Name | UNDIVIDED HEART COUNSELING
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 1400 N SCOTT AVE
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City | BELTON
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State | MO
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Zip | 64012-1445
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Country | US
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Telephone | 816-810-7722
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Fax |
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Provider Business Mailing Address
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Address Line | 7021 E 124TH TER
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City | GRANDVIEW
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State | MO
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Zip | 64030-1812
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Country | US
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Telephone | 816-810-7722
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | PAMELA S HARMS
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Credential | LPC
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Telephone | 816-810-7722
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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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