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General NPI Number Information
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NPI Number | 1649720558
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Entity Type | Organization
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Legal Business Name | AURA COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 10/04/2016
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | 3050 12TH AVE RD
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City | NAMPA
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State | ID
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Zip | 83686
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Country | US
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Telephone | 208-463-4639
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Fax | 208-505-4559
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Provider Business Mailing Address
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Address Line | 3050 12TH AVE RD
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City | NAMPA
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State | ID
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Zip | 83686-8400
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Country | US
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Telephone | 208-463-4639
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Fax | 208-505-4559
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Authorized Official
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Title or Position | OWNER/ CLINICAL DIRECTOR
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Name | AMY CRISTINA KAPPEL
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Credential | LCPC
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Telephone | 208-463-4639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental 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 | 305S00000X
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Taxonomy Name | Point of Service
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #7
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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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