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General NPI Number Information
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NPI Number | 1851049340
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Entity Type | Organization
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Legal Business Name | HEALING PERSPECTIVES TIME WELL SPENT COUNSELING AND RESOURCE CENT
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 01/21/2024
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Provider Practice Location Address
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Address Line | 5600 W MAPLE RD STE B212
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3787
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Country | US
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Telephone | 248-605-5049
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 W MAPLE RD STE B212
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3787
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Country | US
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Telephone | 248-605-5049
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/OWNER
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Name | LAUREL JEAN REBENSTOCK, LMSW, CAADC
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Credential | LMSW, CAADC
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Telephone | 248-605-5049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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