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General NPI Number Information
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NPI Number | 1578296802
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE SELF COUNSELING, LLC
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 11140 S TOWNE SQ STE 200
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City | SAINT LOUIS
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State | MO
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Zip | 63123-7830
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Country | US
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Telephone | 314-742-8453
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Fax | 314-784-7444
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Provider Business Mailing Address
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Address Line | 11140 S TOWNE SQ STE 200
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City | SAINT LOUIS
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State | MO
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Zip | 63123-7830
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Country | US
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Telephone | 314-742-8453
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Fax | 314-784-7444
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | MICHELLE HALL
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Credential | LCSW
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Telephone | 314-742-8453
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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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