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General NPI Number Information
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NPI Number | 1639985872
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Entity Type | Organization
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Legal Business Name | FAITH COSTEA, LMSW, PLLC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 3018 OAKLAND DR STE D
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City | KALAMAZOO
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State | MI
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Zip | 49008-3998
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Country | US
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Telephone | 269-598-8810
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Fax |
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Provider Business Mailing Address
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Address Line | 5677 SWALLOW AVE
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City | KALAMAZOO
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State | MI
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Zip | 49009-4558
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Country | US
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Telephone | 269-598-8810
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | FAITH LEE COSTEA
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Credential | LMSW
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Telephone | 269-598-8810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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