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General NPI Number Information
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NPI Number | 1538966254
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Entity Type | Organization
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Legal Business Name | MOUNT PLEASANT COUNSELING, PLLC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 210 COURT ST STE B
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City | MT PLEASANT
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State | MI
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Zip | 48858-2358
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Country | US
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Telephone | 989-359-1910
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Fax | 989-355-0719
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Provider Business Mailing Address
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Address Line | 210 COURT ST STE B
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City | MT PLEASANT
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State | MI
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Zip | 48858-2358
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Country | US
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Telephone | 989-359-1910
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Fax | 989-355-0719
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MR. KYLE SAMMONS
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Credential | LLMSW
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Telephone | 989-359-1910
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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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