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General NPI Number Information
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NPI Number | 1629775077
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Entity Type | Organization
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Legal Business Name | MIDDLE WAY WELLNESS LLC
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 359 LIVERNOIS ST # 202
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City | FERNDALE
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State | MI
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Zip | 48220-2301
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Country | US
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Telephone | 248-266-0503
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Fax |
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Provider Business Mailing Address
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Address Line | 359 LIVERNOIS ST STE 202
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City | FERNDALE
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State | MI
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Zip | 48220-2676
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Country | US
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Telephone | 248-266-0503
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | CAITLIN ANNE FEY
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Credential | LPC
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Telephone | 248-266-0503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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