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General NPI Number Information
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NPI Number | 1700022639
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Entity Type | Organization
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Legal Business Name | MID-OHIO COUNSELING, LLC
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Dates
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Enumeration Date | 12/24/2008
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 905 RIVER RD STE B
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City | GRANVILLE
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State | OH
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Zip | 43023-9560
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Country | US
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Telephone | 740-507-6707
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Fax | 740-920-4244
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Provider Business Mailing Address
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Address Line | 905 RIVER RD STE B
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City | GRANVILLE
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State | OH
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Zip | 43023-9560
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Country | US
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Telephone | 740-507-6707
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Fax | 740-920-4244
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Authorized Official
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Title or Position | THERAPIST
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Name | KAREN S. COWIE
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Credential | LISW-S, LICDC
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Telephone | 740-507-6707
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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 | I.0500036-SUPV
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License Number State | OH
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