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General NPI Number Information
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NPI Number | 1669140307
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Entity Type | Organization
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Legal Business Name | DELTA LIFE COUNSELING PLC
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 10/14/2023
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Provider Practice Location Address
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Address Line | 1900 W. STADIUM SECTION C SUITE 2
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City | ANN ARBOR
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State | MI
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Zip | 48103
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Country | US
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Telephone | 734-719-0418
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Fax | 734-773-1607
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Provider Business Mailing Address
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Address Line | 2150 STONE SCHOOL CIR
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City | ANN ARBOR
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State | MI
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Zip | 48108-2353
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Country | US
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Telephone | 734-502-8880
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Fax | 734-773-1607
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. RITA L MORRIS
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Credential | LPC
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Telephone | 734-502-8880
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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 | 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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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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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 | 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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