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General NPI Number Information
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NPI Number | 1821478058
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH CONSULTANTS
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 1501 LOWER STATE RD BUILDING D, SUITE 200
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City | NORTH WALES
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State | PA
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Zip | 19454-1216
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Country | US
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Telephone | 215-343-8987
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Fax | 215-343-8983
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Provider Business Mailing Address
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Address Line | 1501 LOWER STATE RD BUILDING D, SUITE 200
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City | NORTH WALES
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State | PA
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Zip | 19454-1216
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Country | US
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Telephone | 215-343-8987
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Fax | 215-343-8983
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Authorized Official
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Title or Position | CLINCIAN
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Name | MORGHAN TERRY
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Credential | LMFT
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Telephone | 215-343-8987
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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 | CW015743
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF000694
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License Number State | PA
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