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General NPI Number Information
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NPI Number | 1730168097
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Entity Type | Organization
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Legal Business Name | CHARIS COUNSELING AND PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 123 S BROAD ST STE 234
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City | LANCASTER
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State | OH
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Zip | 43130
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Country | US
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Telephone | 740-654-8716
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Fax | 740-654-8716
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Provider Business Mailing Address
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Address Line | 123 S BROAD ST STE 234
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City | LANCASTER
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State | OH
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Zip | 43130
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Country | US
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Telephone | 740-654-8716
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Fax | 740-653-9252
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Authorized Official
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Title or Position | OWNER - PSYCHOLOGIST
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Name | DR. STEPHANIE L MILLER
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Credential | PSYD
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Telephone | 740-654-8716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 3138
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3138
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3138
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License Number State | OH
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