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General NPI Number Information
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NPI Number | 1588906119
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Entity Type | Organization
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Legal Business Name | ADAPTIVE COUNSELING AND CASE MANAGEMENT, LLC
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Dates
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Enumeration Date | 03/21/2013
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 3298 VETERANS DR STE 1
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-4725
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Country | US
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Telephone | 317-158-4662
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Fax | 231-943-2263
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Provider Business Mailing Address
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Address Line | 3298 VETERANS DR STE 1
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-4725
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Country | US
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Telephone | 231-715-8466
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Fax | 231-943-2263
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHARON HARRIS
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Credential |
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Telephone | 231-715-1491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 6801089389
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 6801089389
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 6801089389
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 6801089389
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License Number State | MI
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