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General NPI Number Information
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NPI Number | 1811384472
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Entity Type | Organization
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Legal Business Name | TOTAL WELLNESS CONCEPTS LLC
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 03/09/2016
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Provider Practice Location Address
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Address Line | 3433 AGLER RD SUITE 1500
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City | COLUMBUS
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State | OH
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Zip | 43219-3387
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Country | US
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Telephone | 614-414-0187
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Fax | 614-414-0252
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Provider Business Mailing Address
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Address Line | 3433 AGLER RD SUITE 1500
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City | COLUMBUS
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State | OH
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Zip | 43219-3387
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Country | US
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Telephone | 614-414-0187
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Fax | 614-414-0252
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURA ATKINSON
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Credential |
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Telephone | 614-414-0249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 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 #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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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 | 104100000X
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Taxonomy Name | Social Worker
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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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