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General NPI Number Information
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NPI Number | 1740172626
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Entity Type | Organization
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Legal Business Name | VIRTUE MENTAL HEALTH STUDIO LLC
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 5212 LIAM DR
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City | DUBLIN
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State | OH
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Zip | 43016-9804
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Country | US
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Telephone | 313-367-9453
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Fax |
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Provider Business Mailing Address
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Address Line | 6605 LONGSHORE ST STE 240
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City | DUBLIN
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State | OH
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Zip | 43017-2774
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Country | US
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Telephone | 313-367-9453
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. QUJUAN TWILLEY
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Credential | LISW
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Telephone | 313-367-9453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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