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General NPI Number Information
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NPI Number | 1639888738
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Entity Type | Organization
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Legal Business Name | TALK IT OUT THERAPY LLC
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 17100 N 67TH AVE STE 400
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City | GLENDALE
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State | AZ
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Zip | 85308-3698
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Country | US
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Telephone | 623-203-5151
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Fax | 480-718-7487
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Provider Business Mailing Address
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Address Line | 17100 N 67TH AVE STE 400
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City | GLENDALE
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State | AZ
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Zip | 85308-3698
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Country | US
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Telephone | 623-203-5151
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Fax | 480-718-7487
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KERRILYNN LATTA
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Credential | LCSW
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Telephone | 623-203-5151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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