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General NPI Number Information
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NPI Number | 1679389001
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Entity Type | Organization
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Legal Business Name | THE WISDOM WELL LLC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 5428 S REGAL ST UNIT 30422
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City | SPOKANE
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State | WA
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Zip | 99223-8051
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Country | US
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Telephone | 760-715-2498
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Fax |
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Provider Business Mailing Address
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Address Line | 5428 S REGAL ST UNIT 30422
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City | SPOKANE
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State | WA
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Zip | 99223-8051
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Country | US
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Telephone | 760-715-2498
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | HANNAH ELIAS
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Credential | MA, LMHC
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Telephone | 760-715-2498
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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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