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General NPI Number Information
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NPI Number | 1689022055
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Entity Type | Organization
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Legal Business Name | SERVING PEOPLE LOVINGLY COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 05/26/2016
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Provider Practice Location Address
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Address Line | 1001 STATE ST STE 1400
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City | ERIE
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State | PA
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Zip | 16501-1834
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Country | US
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Telephone | 817-668-5497
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Fax |
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Provider Business Mailing Address
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Address Line | 546 E 34TH ST
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City | ERIE
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State | PA
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Zip | 16504-1645
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Country | US
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Telephone | 817-668-5497
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SVIATLANA PETROVNA LOCANTO
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Credential | MSW, LSW
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Telephone | 817-668-5497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 130453
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License Number State | PA
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