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General NPI Number Information
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NPI Number | 1649828831
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS COUNSELING LLC
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 09/05/2019
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Provider Practice Location Address
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Address Line | 322 E CENTER ST
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City | DOUGLAS
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State | WY
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Zip | 82633-2541
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Country | US
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Telephone | 307-358-0909
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Fax |
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Provider Business Mailing Address
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Address Line | 322 E CENTER ST
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City | DOUGLAS
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State | WY
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Zip | 82633-2541
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Country | US
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Telephone | 307-358-0909
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL THERAPIST
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Name | MR. STEVE MICHAEL LEWIS
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Credential | LPC
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Telephone | 307-234-9907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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