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General NPI Number Information
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NPI Number | 1760263800
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC SOLUTIONS WITH AMY
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 2312 N GRANDVIEW BLVD STE 203
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City | WAUKESHA
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State | WI
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Zip | 53188-1600
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Country | US
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Telephone | 414-702-4204
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 KATHY CT
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City | WAUKESHA
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State | WI
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Zip | 53188-4713
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Country | US
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Telephone | 414-702-4204
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMY L HALL
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Credential | LPC
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Telephone | 414-702-4204
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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 |
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License Number State |
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