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General NPI Number Information
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NPI Number | 1700666583
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Entity Type | Organization
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Legal Business Name | INNER SPACE COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 3315 MEMORIAL PKWY SW STE 501
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5353
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Country | US
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Telephone | 256-986-9080
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Fax |
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Provider Business Mailing Address
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Address Line | 3315 MEMORIAL PKWY SW STE 501
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5353
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Country | US
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Telephone | 256-986-9080
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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 | MRS. SUMMER D MARCHLINSKI
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Credential | LPC
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Telephone | 256-986-9080
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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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