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General NPI Number Information
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NPI Number | 1811646466
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Entity Type | Organization
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Legal Business Name | INSPIRED LIFE COUNSELING & COACHING LLC
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Dates
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Enumeration Date | 03/21/2022
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 6695 HIGHLAND RD STE 105
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City | WATERFORD
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State | MI
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Zip | 48327-1967
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Country | US
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Telephone | 248-343-5134
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Fax | 248-609-7353
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Provider Business Mailing Address
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Address Line | 1405 BIRD RD
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City | ORTONVILLE
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State | MI
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Zip | 48462-9017
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Country | US
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Telephone | 248-343-5134
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Fax | 248-609-7353
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH HOCKIN
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Credential | LPC
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Telephone | 248-343-5134
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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 |
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License Number State |
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