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General NPI Number Information
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NPI Number | 1679379697
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Entity Type | Organization
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Legal Business Name | SEASONS OF CHANGE COUNSELING, LLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 400 PEARL ST STE 203
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City | NEW ALBANY
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State | IN
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Zip | 47150-3451
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Country | US
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Telephone | 502-689-3592
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Fax |
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Provider Business Mailing Address
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Address Line | 8111 REGENCY WOODS WAY
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City | LOUISVILLE
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State | KY
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Zip | 40220-3812
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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 | OWNER/THERAPIST
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Name | AUTUMN MEYER
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Credential | LMHC
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Telephone | 502-689-3592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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