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General NPI Number Information
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NPI Number | 1629873070
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Entity Type | Organization
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Legal Business Name | A COMMITMENT TO LOVE YOU INC.
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 1460 ROCKEFELLER RD
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City | WICKLIFFE
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State | OH
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Zip | 44092-1932
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Country | US
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Telephone | 440-799-7559
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Fax |
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Provider Business Mailing Address
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Address Line | 30799 PINETREE RD # 240
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City | PEPPER PIKE
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State | OH
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Zip | 44124-5903
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Country | US
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Telephone | 440-799-7559
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Fax |
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Authorized Official
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Title or Position | CEO AND OWNER
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Name | MRS. GWENETTE M JAMES
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Credential | LISW
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Telephone | 440-799-7559
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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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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