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General NPI Number Information
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NPI Number | 1770296592
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Entity Type | Organization
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Legal Business Name | NORA MENTAL HEALTH LLC
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 17940 FARMINGTON RD STE 215
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City | LIVONIA
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State | MI
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Zip | 48152-3194
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Country | US
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Telephone | 434-770-0230
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Fax |
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Provider Business Mailing Address
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Address Line | 17576 BRYAN ST
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City | SOUTH BEND
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State | IN
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Zip | 46635-1823
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CULLEN HARDY
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Credential |
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Telephone | 434-770-0230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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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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