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General NPI Number Information
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NPI Number | 1780423848
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Entity Type | Organization
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Legal Business Name | GIVENHOPE
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 930 MARY ST
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City | LOUISVILLE
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State | KY
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Zip | 40204-2425
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Country | US
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Telephone | 502-644-4101
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Fax |
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Provider Business Mailing Address
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Address Line | 3702 FREESTONE CT
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City | LOUISVILLE
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State | KY
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Zip | 40218-2791
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Country | US
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Telephone | 502-644-4101
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMARA GIVENS
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Credential | LPCC
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Telephone | 502-644-4101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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