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General NPI Number Information
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NPI Number | 1679112676
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Entity Type | Organization
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Legal Business Name | OPEN HEART COMMUNITIES
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Dates
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Enumeration Date | 12/23/2019
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 5600 W MAPLE RD STE D402
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3711
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Country | US
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Telephone | 248-782-2602
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 W MAPLE RD STE D402
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3711
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Country | US
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Telephone | 586-871-0439
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | COURTNEY CABELL
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Credential | PSYD
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Telephone | 586-871-0439
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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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 | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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