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General NPI Number Information
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NPI Number | 1720024672
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Entity Type | Organization
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Legal Business Name | SHEPHERDS STAFF COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 08/31/2025
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Provider Practice Location Address
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Address Line | 4655 DOBIE RD STE 270
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City | OKEMOS
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State | MI
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Zip | 48864-6909
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Country | US
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Telephone | 517-333-6700
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Fax | 517-381-5362
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Provider Business Mailing Address
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Address Line | 4655 DOBIE RD STE 270
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City | OKEMOS
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State | MI
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Zip | 48864-6909
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Country | US
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Telephone | 517-333-6700
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Fax | 517-381-5362
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Authorized Official
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Title or Position | PSYCHOLOGIST, OWNER
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Name | DR. CAROLYN SUE LUCAS
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Credential | PH.D.
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Telephone | 517-333-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301008781
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License Number State | MI
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