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General NPI Number Information
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NPI Number | 1790294155
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Entity Type | Organization
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Legal Business Name | ASPIRE THERAPEUTIC COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 50 WEDDINGTON BRANCH RD STE B
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City | PIKEVILLE
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State | KY
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Zip | 41501-3296
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Country | US
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Telephone | 606-548-0720
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Fax |
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Provider Business Mailing Address
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Address Line | 510 CENTRAL AVE
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City | SOUTH WILLIAMSON
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State | KY
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Zip | 41503-4123
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Country | US
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Telephone | 606-213-7988
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER L LYON
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Credential | LPCC
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Telephone | 606-548-0720
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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 | 173391
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License Number State | KY
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