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General NPI Number Information
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NPI Number | 1831068444
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Entity Type | Organization
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Legal Business Name | INNER CHANGE LLC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 330 TOWN CENTER DR STE 811
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City | DEARBORN
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State | MI
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Zip | 48126-2738
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Country | US
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Telephone | 313-977-1143
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Fax |
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Provider Business Mailing Address
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Address Line | 4981 HARDING ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48125-2841
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Country | US
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Telephone | 313-977-1143
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEBA AL-MUGOTIR
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Credential | LPC
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Telephone | 313-977-1143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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