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General NPI Number Information
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NPI Number | 1750248811
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Entity Type | Organization
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Legal Business Name | SACRED CENTER
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1710 LINCOLN AVE
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City | SPIRIT LAKE
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State | IA
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Zip | 51360-1154
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Country | US
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Telephone | 712-330-8090
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Fax | 712-330-8090
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Provider Business Mailing Address
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Address Line | 1710 LINCOLN AVE
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City | SPIRIT LAKE
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State | IA
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Zip | 51360-1154
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Country | US
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Telephone | 712-330-8090
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Fax | 712-330-8090
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | RUTH MCCLEERY
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Credential | LMHC
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Telephone | 712-330-8090
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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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