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General NPI Number Information
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NPI Number | 1639760408
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Entity Type | Organization
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Legal Business Name | RIPPLE EFFECT COUNSELING, LLC
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 1321 S HIGHWAY 160 SUITE 3E
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City | PAHRUMP
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State | NV
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Zip | 89048
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Country | US
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Telephone | 406-781-7401
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Fax |
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Provider Business Mailing Address
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Address Line | 5601 BLUE PEAK AVE
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City | LAS VEGAS
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State | NV
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Zip | 89131-2512
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Country | US
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Telephone | 406-781-7401
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TONI ELIZABETH-IVY PAULY
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Credential | LCPC
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Telephone | 406-781-7401
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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 | 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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