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General NPI Number Information
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NPI Number | 1699673756
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Entity Type | Organization
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Legal Business Name | VERSO L'ALTO COUNSELING LLC
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Dates
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Enumeration Date | 10/28/2026
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Last Update Date | 10/28/2026
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Provider Practice Location Address
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Address Line | 254 CLARKSON RD
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City | ELLISVILLE
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State | MO
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Zip | 63011-2245
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Country | US
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Telephone | 314-852-9319
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Fax |
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Provider Business Mailing Address
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Address Line | 805 CASTLE RIDGE CT
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City | BALLWIN
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State | MO
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Zip | 63021-4465
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Country | US
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Telephone | 314-852-9319
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | KATIE HOLMAN
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Credential | LPC
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Telephone | 314-852-9319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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