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General NPI Number Information
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NPI Number | 1669321527
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Entity Type | Organization
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Legal Business Name | CW360 LLC
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Dates
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Enumeration Date | 01/24/2026
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 1213 TENNESSEE AVE STE 204
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City | CINCINNATI
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State | OH
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Zip | 45229-1044
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Country | US
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Telephone | 513-518-5596
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Fax |
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Provider Business Mailing Address
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Address Line | 1213 TENNESSEE AVE STE 204
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City | CINCINNATI
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State | OH
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Zip | 45229-1044
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL COLLINS
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Credential | LPCC, LICDC
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Telephone | 513-518-5596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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