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General NPI Number Information
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NPI Number | 1659181246
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Entity Type | Organization
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Legal Business Name | GENTZ COUNSELING LLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 59466 COUNTY ROAD 113
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City | ELKHART
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State | IN
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Zip | 46517-3644
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Country | US
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Telephone | 574-606-5486
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Fax |
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Provider Business Mailing Address
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Address Line | 63503 COUNTY ROAD 7
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City | GOSHEN
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State | IN
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Zip | 46526-9418
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Country | US
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Telephone | 574-606-5486
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | HELEN GENTZ
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Credential | LMHC, LCAC
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Telephone | 574-606-5486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 #3
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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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