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General NPI Number Information
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NPI Number | 1699472969
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Entity Type | Organization
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Legal Business Name | ASPEN GROVE MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 235 HIGH ST STE 816
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City | MORGANTOWN
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State | WV
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Zip | 26505-5448
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Country | US
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Telephone | 218-838-4316
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Fax |
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Provider Business Mailing Address
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Address Line | 106 HIGH POINT DR
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City | FAIRMONT
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State | WV
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Zip | 26554-4369
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Country | US
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Telephone | 719-204-3633
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Fax | 719-249-4018
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY NIEMANN
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Credential | LMFT
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Telephone | 719-204-3633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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