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General NPI Number Information
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NPI Number | 1669070033
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Entity Type | Organization
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Legal Business Name | CHARISMATA COUNSELING LLC
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Dates
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Enumeration Date | 10/16/2020
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Last Update Date | 10/18/2020
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Provider Practice Location Address
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Address Line | 2670 N COLUMBUS ST STE 0
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City | LANCASTER
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State | OH
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Zip | 43130-8408
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Country | US
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Telephone | 740-415-7371
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Fax | 740-785-5045
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Provider Business Mailing Address
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Address Line | 2670 N COLUMBUS ST
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City | LANCASTER
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State | OH
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Zip | 43130-8408
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Country | US
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Telephone | 740-415-7371
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Fax | 740-785-5045
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHEILA RENEE GOSSETT
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Credential |
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Telephone | 614-316-2864
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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 | 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 #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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