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General NPI Number Information
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NPI Number | 1811858590
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Entity Type | Organization
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Legal Business Name | INNERSCAPE COUNSELING PLLC
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 03/01/2026
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Provider Practice Location Address
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Address Line | 2290 E HILL RD STE 103
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City | GRAND BLANC
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State | MI
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Zip | 48439-5424
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Country | US
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Telephone | 248-382-8507
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Fax |
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Provider Business Mailing Address
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Address Line | 4473 DANIEL DR
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City | GRAND BLANC
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State | MI
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Zip | 48439-7653
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | PAMELA R SHADAIA
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Credential |
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Telephone | 248-382-8507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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