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General NPI Number Information
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NPI Number | 1790424752
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Entity Type | Organization
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Legal Business Name | TRANSCENDENCE THERAPY GROUP LLC
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Dates
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Enumeration Date | 05/28/2022
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 155 E SILVER SPRING DR STE 206
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City | WHITEFISH BAY
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State | WI
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Zip | 53217-4704
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Country | US
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Telephone | 414-885-0033
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Fax |
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Provider Business Mailing Address
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Address Line | 8415 N PELICAN LN
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City | RIVER HILLS
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State | WI
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Zip | 53217-2059
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Country | US
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Telephone | 262-977-0119
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Fax |
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Authorized Official
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Title or Position | OWNER AND PSYCHOTHERAPIST
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Name | NATALIE HANSON
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Credential | LPC
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Telephone | 262-977-0119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical 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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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