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General NPI Number Information
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NPI Number | 1821630781
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Entity Type | Organization
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Legal Business Name | FINDING YOUR DESTINY, LLC
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Dates
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Enumeration Date | 10/11/2019
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 3401 ENTERPRISE PKWY STE 340-774
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City | BEACHWOOD
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State | OH
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Zip | 44122-7341
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Country | US
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Telephone | 440-774-1800
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Fax | 216-518-2200
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Provider Business Mailing Address
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Address Line | PO BOX 23394
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City | EUCLID
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State | OH
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Zip | 44123-0394
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Country | US
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Telephone | 216-533-3019
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Fax | 216-518-2200
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Authorized Official
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Title or Position | LICENSED CLINICAL THERAPIST
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Name | MS. CELESTE A BOZEMAN
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Credential | M.ED., LPCC
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Telephone | 216-533-3019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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