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NPI 1730983065

NPI 1730983065 : COMPASSIONATE CONNECTIONS COUNSELING : PLEASANT GROVE, UT

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General NPI Number Information
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    NPI Number           |    1730983065
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPASSIONATE CONNECTIONS COUNSELING 
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Dates
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    Enumeration Date     |    04/03/2025
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    Last Update Date     |    04/03/2025
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Provider Practice Location Address
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    Address Line         |    481 E 1000 S STE D 
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    City                 |    PLEASANT GROVE
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    State                |    UT
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    Zip                  |    84062-3716
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    Country              |    US
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    Telephone            |    801-899-2559
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    481 E 1000 S STE D 
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    City                 |    PLEASANT GROVE
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    State                |    UT
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    Zip                  |    84062-3716
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    Country              |    US
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    Telephone            |    801-899-2559
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. LORI  SCHADE 
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    Credential           |    LMFT
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    Telephone            |    801-899-2559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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Taxonomy #3
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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