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General NPI Number Information
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NPI Number | 1851885925
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Entity Type | Organization
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Legal Business Name | SPIRITUAL FAMILY COUNSELING, LLC
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 200 E BIG BEAVER RD
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City | TROY
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State | MI
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Zip | 48083-1208
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Country | US
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Telephone | 248-602-6003
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Fax | 844-829-4484
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Provider Business Mailing Address
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Address Line | 200 E BIG BEAVER RD
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City | TROY
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State | MI
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Zip | 48083-1208
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Country | US
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Telephone | 248-602-6003
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Fax | 844-829-4484
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Authorized Official
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Title or Position | LCSW
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Name | ROESLAID RENE MCLAURINE
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Credential |
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Telephone | 248-602-6003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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