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General NPI Number Information
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NPI Number | 1699361931
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Entity Type | Organization
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Legal Business Name | BEYOND YOUR VALLEY, LLC
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Dates
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Enumeration Date | 12/20/2020
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 9545 KENWOOD RD STE 304
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City | BLUE ASH
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State | OH
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Zip | 45242-6100
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Country | US
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Telephone | 513-348-1780
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Fax |
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Provider Business Mailing Address
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Address Line | 9545 KENWOOD RD STE 304
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City | BLUE ASH
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State | OH
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Zip | 45242-6100
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Country | US
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Telephone | 513-348-1780
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN VALASEK
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Credential | LPCC-S, LPCC-S,LICDC
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Telephone | 513-348-1780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 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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Taxonomy #4
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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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Taxonomy #6
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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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