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General NPI Number Information
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NPI Number | 1740093970
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Entity Type | Organization
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Legal Business Name | PASTURES OF HOPE LLC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 7490 EDISON ST NE
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City | HARTVILLE
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State | OH
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Zip | 44632-9328
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Country | US
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Telephone | 330-415-4794
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Fax |
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Provider Business Mailing Address
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Address Line | 9171 BEESON ST NE
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City | LOUISVILLE
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State | OH
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Zip | 44641-8518
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | BENJAMIN CHANDLER
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Credential | LPCC
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Telephone | 330-415-4794
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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 | 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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