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General NPI Number Information
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NPI Number | 1609415330
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Entity Type | Organization
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Legal Business Name | LIVING HOPE COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 12/28/2019
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 4341 S WESTNEDGE AVE STE 1101
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City | KALAMAZOO
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State | MI
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Zip | 49008-3289
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Country | US
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Telephone | 269-633-9456
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Fax |
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Provider Business Mailing Address
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Address Line | 4341 S WESTNEDGE AVE STE 1101
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City | KALAMAZOO
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State | MI
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Zip | 49008-3289
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Country | US
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Telephone | 269-633-9456
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST / OWNER
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Name | KELLY N WARREN
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Credential | MA, LPC
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Telephone | 269-633-9456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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