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General NPI Number Information
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NPI Number | 1821633470
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Entity Type | Organization
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Legal Business Name | IGNITING HOPE COUNSELING SERVICES
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 5221 S POWELL AVE
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City | BLUE SPRINGS
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State | MO
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Zip | 64015-2239
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Country | US
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Telephone | 816-547-6930
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Fax |
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Provider Business Mailing Address
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Address Line | 5221 S POWELL AVE
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City | BLUE SPRINGS
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State | MO
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Zip | 64015-2239
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Country | US
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Telephone | 816-547-6930
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. TERRY RICHARD GROVES JR.
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Credential | MSW,LCSW
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Telephone | 816-547-6930
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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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