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General NPI Number Information
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NPI Number | 1609427343
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Entity Type | Organization
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Legal Business Name | TREEHOUSE THERAPY
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Dates
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Enumeration Date | 09/24/2019
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Last Update Date | 09/24/2019
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Provider Practice Location Address
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Address Line | 1916 ORANGE TREE LN STE 450C
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City | REDLANDS
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State | CA
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Zip | 92374-4520
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Country | US
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Telephone | 909-480-1027
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Fax |
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Provider Business Mailing Address
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Address Line | 1916 ORANGE TREE LN STE 450C
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City | REDLANDS
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State | CA
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Zip | 92374-4520
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Country | US
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Telephone | 909-480-1027
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MONA SMITH
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Credential | LMFT
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Telephone | 909-238-1027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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License Number State |
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