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General NPI Number Information
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NPI Number | 1558179929
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Entity Type | Organization
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Legal Business Name | THERAPY ROOM LLC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 5151 MONROE ST STE 231H
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City | TOLEDO
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State | OH
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Zip | 43623-3461
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Country | US
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Telephone | 419-343-8962
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Fax |
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Provider Business Mailing Address
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Address Line | 402 W 3RD ST
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City | PERRYSBURG
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State | OH
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Zip | 43551-1417
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Country | US
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Telephone | 419-343-8962
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Fax |
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Authorized Official
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Title or Position | OWNER, MENTAL HEALTH THERAPIST
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Name | MRS. COURTNEY LEIGH HOWELL
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Credential | LISW, LMSW
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Telephone | 419-343-8962
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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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