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General NPI Number Information
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NPI Number | 1730560624
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Entity Type | Organization
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Legal Business Name | HOLLINS COUNSELING SERVICES INC
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 6371 KITTYHAWK COMMONS BLVD
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-4043
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Country | US
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Telephone | 937-237-0071
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Fax | 937-237-0782
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Provider Business Mailing Address
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Address Line | 6371 KITTYHAWK COMMONS BLVD P.O. BOX 24264
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-4043
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Country | US
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Telephone | 937-237-0071
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Fax | 937-237-0782
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Authorized Official
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Title or Position | CEO/OWNER/MENTAL HEALTH COUNSELOR
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Name | MR. JOHN EARL HOLLINS JR.
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Credential | LPCC-SC; CCMHC
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Telephone | 937-237-0071
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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 | E0001467
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License Number State | OH
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