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General NPI Number Information
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NPI Number | 1619336757
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Entity Type | Organization
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Legal Business Name | ADJUSTING THE SAILS COUNSELING SERVICES
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 07/08/2016
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Provider Practice Location Address
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Address Line | 112 E MCMURTRY AVE STE 107
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City | HARTFORD
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State | KY
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Zip | 42347-1634
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Country | US
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Telephone | 270-298-3461
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Fax | 844-411-6066
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Provider Business Mailing Address
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Address Line | 112 E MCMURTRY AVE STE 107
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City | HARTFORD
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State | KY
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Zip | 42347-1634
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Country | US
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Telephone | 270-298-3461
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Fax | 844-411-6066
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Authorized Official
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Title or Position | MEMBER
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Name | HOLLY BENNINGFIELD
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Credential | MA, LPCA
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Telephone | 270-298-3461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 164713
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License Number State | KY
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