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General NPI Number Information
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NPI Number | 1649932906
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Entity Type | Organization
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Legal Business Name | ALKEBULANS COUNSELING & GROUP SERVICES LLC
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 29777 TELEGRAPH RD STE 4200
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1303
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Country | US
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Telephone | 313-312-9878
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Fax |
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Provider Business Mailing Address
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Address Line | 24400 CIVIC CENTER DR APT B1-815
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City | SOUTHFIELD
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State | MI
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Zip | 48033-2564
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Country | US
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Telephone | 313-312-9878
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DARNELLA HANKINS
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Credential |
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Telephone | 313-312-9878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 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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