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General NPI Number Information
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NPI Number | 1629756861
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Entity Type | Organization
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Legal Business Name | MIND ELEVATION COUNSELING AND COACHING, LLC
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 1172 W GALBRAITH RD STE 212
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City | CINCINNATI
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State | OH
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Zip | 45231-5643
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Country | US
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Telephone | 812-584-9439
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Fax |
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Provider Business Mailing Address
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Address Line | #1039 7800 MONTGOMERY RD UNIT 200
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City | KENWOOD
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State | OH
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Zip | 45236
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Country | US
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Telephone | 812-584-9439
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Fax |
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Authorized Official
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Title or Position | LSW/OWNER
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Name | NIA' BRIGHTWELL
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Credential | LSW
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Telephone | 812-584-9439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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