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General NPI Number Information
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NPI Number | 1619527074
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Entity Type | Organization
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Legal Business Name | SALVEO MENTIS COUNSELING & CONSULTING LLC
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 3473 SAINT WILLIAMS LN
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City | SAINT ANN
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State | MO
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Zip | 63074-2931
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Country | US
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Telephone | 314-691-0267
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Fax |
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Provider Business Mailing Address
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Address Line | 3473 SAINT WILLIAMS LN
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City | SAINT ANN
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State | MO
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Zip | 63074-2931
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Country | US
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Telephone | 314-691-0267
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED PROFESSIONAL COUNSEL
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Name | MS. MICHELLE RENEE ZEILMAN
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Credential | M.ED, LPC
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Telephone | 314-691-0267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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