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General NPI Number Information
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NPI Number | 1861351348
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Entity Type | Organization
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Legal Business Name | TENDING TO THE SOUL COLLECTIVE
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 3553 ATLANTIC AVE # 168
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City | LONG BEACH
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State | CA
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Zip | 90807-5606
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Country | US
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Telephone | 901-235-3449
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Fax |
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Provider Business Mailing Address
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Address Line | 3553 ATLANTIC AVE # 168
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City | LONG BEACH
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State | CA
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Zip | 90807-5606
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Country | US
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Telephone | 901-235-3449
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | SAMUEL JOHN KLEIST
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Credential | ASW
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Telephone | 901-235-3449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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