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General NPI Number Information
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NPI Number | 1649940792
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Entity Type | Organization
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Legal Business Name | OPENING DOORS TOGETHER, LLC
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Dates
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Enumeration Date | 09/19/2021
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 316 GROVE ST STE 4
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City | LAKE MILLS
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State | WI
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Zip | 53551-1664
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Country | US
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Telephone | 608-630-5696
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91
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City | LAKE MILLS
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State | WI
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Zip | 53551-0091
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Country | US
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Telephone | 608-630-5696
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEBRA ANN LINS
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Credential | MSED, LPC
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Telephone | 608-630-5696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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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