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General NPI Number Information
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NPI Number | 1831695469
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Entity Type | Organization
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Legal Business Name | HOPE CHRISTIAN COUNSELING CENTER
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 900 W SOUTH BOUNDARY ST BLDG 7B
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City | PERRYSBURG
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State | OH
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Zip | 43551-5244
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Country | US
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Telephone | 419-724-4233
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Fax | 877-622-7635
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Provider Business Mailing Address
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Address Line | 900 W SOUTH BOUNDARY ST BLDG 7B
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City | PERRYSBURG
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State | OH
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Zip | 43551-5244
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Country | US
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Telephone | 419-724-4233
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Fax | 877-622-7635
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Authorized Official
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Title or Position | LISW-S
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Name | CINDY J LIVINGSTON
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Credential | LISW-S
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Telephone | 419-724-4233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | I-0009614
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I-0009614
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License Number State | OH
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