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General NPI Number Information
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NPI Number | 1760279491
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Entity Type | Organization
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Legal Business Name | NEUROKIND THERAPY LLC
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 11025 MILLER RD
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City | SWARTZ CREEK
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State | MI
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Zip | 48473-8614
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Country | US
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Telephone | 810-410-5441
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12
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City | SWARTZ CREEK
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State | MI
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Zip | 48473-0012
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Country | US
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Telephone | 810-243-4810
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MONET SUTTON
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Credential | LMSW
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Telephone | 810-410-5441
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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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