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General NPI Number Information
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NPI Number | 1659147015
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Entity Type | Organization
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Legal Business Name | MINDFUL SOLUTIONS COUNSELING, LLC
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 6861 N 2ND ST
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City | PLATTEVILLE
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State | WI
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Zip | 53818-9784
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Country | US
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Telephone | 608-642-2491
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Fax |
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Provider Business Mailing Address
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Address Line | 6861 N 2ND ST
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City | PLATTEVILLE
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State | WI
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Zip | 53818-9784
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Country | US
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Telephone | 608-642-2491
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RITA UDELHOVEN
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Credential |
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Telephone | 608-642-2491
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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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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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