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NPI 1720654171

NPI 1720654171 : FRESH RAIN COUNSELING CENTER : GOODYEAR, AZ

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General NPI Number Information
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    NPI Number           |    1720654171
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRESH RAIN COUNSELING CENTER 
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Dates
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    Enumeration Date     |    05/27/2021
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    Last Update Date     |    01/02/2026
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Provider Practice Location Address
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    Address Line         |    1755 N PEBBLE CREEK PKWY # 1010 
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    City                 |    GOODYEAR
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    State                |    AZ
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    Zip                  |    85395-2532
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    Country              |    US
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    Telephone            |    623-400-1916
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1755 N PEBBLE CREEK PKWY # 1010 
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    City                 |    GOODYEAR
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    State                |    AZ
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    Zip                  |    85395-2532
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    Country              |    US
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    Telephone            |    623-400-1916
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    Fax                  |    
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Authorized Official
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    Title or Position    |    BEHAVIORAL HEALTH SPECIALIST/ OWNER
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    Name                 |     SHANNON  FRANKLIN 
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    Credential           |    LCSW
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    Telephone            |    623-400-1916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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