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General NPI Number Information
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NPI Number | 1649658725
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Entity Type | Organization
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Legal Business Name | GOOD COMPANY CHRISTIAN COUNSELING & LIFE COACHING, LLC
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 08/23/2019
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Provider Practice Location Address
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Address Line | 2475 COLLINGWOOD BLVD
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City | TOLEDO
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State | OH
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Zip | 43620-1186
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Country | US
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Telephone | 419-822-7319
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Fax | 419-822-7319
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Provider Business Mailing Address
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Address Line | 2475 COLLINGWOOD BLVD
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City | TOLEDO
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State | OH
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Zip | 43620-1186
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Country | US
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Telephone | 419-822-7319
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Fax | 419-590-0007
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Authorized Official
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Title or Position | OWNER
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Name | RODNEY CARTER THOMAS
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Credential | LISW-S
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Telephone | 419-822-7319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1200485
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License Number State | OH
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