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General NPI Number Information
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NPI Number | 1770850976
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Entity Type | Organization
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Legal Business Name | R&R COUNSELING CENTER FOR HOPE, LLC
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 9378 OLIVE BLVD SUITE 213
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City | SAINT LOUIS
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State | MO
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Zip | 63132-3215
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Country | US
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Telephone | 314-562-8202
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Fax | 314-983-9982
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Provider Business Mailing Address
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Address Line | 9378 OLIVE BLVD SUITE 213
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City | SAINT LOUIS
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State | MO
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Zip | 63132-3215
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Country | US
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Telephone | 314-562-8202
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Fax | 314-983-9982
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KATHY R COLEMAN
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Credential | MA, LPC, NCC
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Telephone | 314-562-8202
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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 | 2009006810
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License Number State | MO
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