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General NPI Number Information
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NPI Number | 1699476770
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC JOURNEYS
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 801 W BIG BEAVER RD STE 300
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City | TROY
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State | MI
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Zip | 48084-4725
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Country | US
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Telephone | 248-500-6411
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Fax | 248-243-0226
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Provider Business Mailing Address
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Address Line | 25835 MARY ST
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City | CHESTERFIELD
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State | MI
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Zip | 48051-2824
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Country | US
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Telephone | 248-500-6411
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Fax | 586-684-4291
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Authorized Official
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Title or Position | LICENSE PROFESSIONAL COUNSELOR
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Name | DARRECIA PRINCESS COOPER
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Credential | MA
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Telephone | 313-971-6693
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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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