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General NPI Number Information
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NPI Number | 1720741283
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Entity Type | Organization
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Legal Business Name | SEVEN RIVERS COUNSELING, LLC
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Dates
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Enumeration Date | 10/20/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 6440 S LEWIS AVE STE 2000
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City | TULSA
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State | OK
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Zip | 74136-1043
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Country | US
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Telephone | 918-520-7022
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 702158
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City | TULSA
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State | OK
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Zip | 74170-2158
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Country | US
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Telephone | 918-520-7022
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH CHAUDHRY
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Credential | MS, LPC, RPT, NCC
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Telephone | 918-520-7022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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