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General NPI Number Information
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NPI Number | 1558993790
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Entity Type | Organization
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Legal Business Name | SUNLIGHT COUNSELING & THERAPY LLC
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 1 W STATE RD
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City | NEWAYGO
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State | MI
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Zip | 49337-7981
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Country | US
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Telephone | 616-414-0879
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Fax |
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Provider Business Mailing Address
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Address Line | 8006 S POTAWATOMI CT
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City | NEWAYGO
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State | MI
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Zip | 49337-8748
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Country | US
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Telephone | 616-293-5276
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHARYL STEMBAUGH
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Credential | LMSW
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Telephone | 616-293-5276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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