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General NPI Number Information
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NPI Number | 1861380156
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Entity Type | Organization
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Legal Business Name | COMFORTABLE CONNECTIONS MENTAL HEALTH CENTER LLC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 40195 WINSAND DRIVE SUITE 4
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City | PIGEON FALLS
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State | WI
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Zip | 54760
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Country | US
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Telephone | 715-530-4011
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8050
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City | WAUSAU
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State | WI
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Zip | 54402-8050
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | CHELSEA MOYER
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Credential | LPC
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Telephone | 715-530-4011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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