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General NPI Number Information
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NPI Number | 1851812242
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Entity Type | Organization
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Legal Business Name | REDEFINING YOU THERAPY, INCORPORATED
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3105 1ST AVE STE A
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City | SACRAMENTO
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State | CA
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Zip | 95817-1914
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Country | US
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Telephone | 916-956-6232
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Fax | 916-476-3464
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Provider Business Mailing Address
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Address Line | 3105 1ST AVENUE, SUITE A
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City | SACRAMENTO
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State | CA
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Zip | 95817
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Country | US
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Telephone | 916-956-6232
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Fax | 916-476-3464
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. OLA RENEE ADAMS-BEST
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Credential | LCSW
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Telephone | 916-956-6232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | CA
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