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General NPI Number Information
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NPI Number | 1861288722
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Entity Type | Organization
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Legal Business Name | SUSTAINED HOPE COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 12249 VAUGHAN ST
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City | DETROIT
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State | MI
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Zip | 48228-1008
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Country | US
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Telephone | 313-551-1114
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Fax |
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Provider Business Mailing Address
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Address Line | 12249 VAUGHAN ST
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City | DETROIT
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State | MI
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Zip | 48228-1008
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Country | US
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Telephone | 313-551-1114
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CONSULTANT
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Name | SONYA SHELMAN
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Credential |
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Telephone | 313-551-1114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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