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General NPI Number Information
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NPI Number | 1770002594
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Entity Type | Organization
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Legal Business Name | GENERATIONS COUNSELING & PSYCHOTHERAPY, LLC.
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Dates
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Enumeration Date | 09/13/2017
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 5900 N HIGH ST STE 130
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City | WORTHINGTON
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State | OH
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Zip | 43085-3956
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Country | US
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Telephone | 614-450-0894
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Fax | 614-645-5065
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Provider Business Mailing Address
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Address Line | 5900 N HIGH ST STE 130
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City | WORTHINGTON
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State | OH
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Zip | 43085-3956
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Country | US
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Telephone | 614-450-0894
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Fax | 614-645-5065
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MS. LISA HARTMAN
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Credential | LISW
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Telephone | 614-450-0894
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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 | I.1500103
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License Number State | OH
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