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General NPI Number Information
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NPI Number | 1760919583
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Entity Type | Organization
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Legal Business Name | CREATIVE FAMILY WELLNESS, INC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 3653 DARROW RD SUITE 4
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City | STOW
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State | OH
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Zip | 44224-4012
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Country | US
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Telephone | 330-520-0014
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Fax | 844-328-9771
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Provider Business Mailing Address
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Address Line | 3653 DARROW RD SUITE 4
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City | STOW
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State | OH
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Zip | 44224-4012
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Country | US
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Telephone | 330-520-0014
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Fax | 844-328-9771
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. MORGAN MARIE ENRIGHT
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Credential | LPCC
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Telephone | 330-520-0014
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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 | E.0700344
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License Number State | OH
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