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General NPI Number Information
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NPI Number | 1649879248
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Entity Type | Organization
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Legal Business Name | CALYPSO COUNSELING, LLC
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 10/23/2020
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Provider Practice Location Address
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Address Line | 77 W ELMWOOD DR STE 303
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City | DAYTON
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State | OH
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Zip | 45459-4270
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Country | US
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Telephone | 937-232-8026
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Fax |
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Provider Business Mailing Address
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Address Line | 7300 GEM CT
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City | DAYTON
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State | OH
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Zip | 45459-3925
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Country | US
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Telephone | 937-232-8026
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER/THERAPIST
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Name | JESSICA NYE
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Credential | MS, LPCC
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Telephone | 937-232-8026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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