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General NPI Number Information
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NPI Number | 1871146068
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Entity Type | Organization
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Legal Business Name | ENCOUNTER BEHAVIORAL HEALTH AND COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 07/17/2019
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Last Update Date | 07/17/2019
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Provider Practice Location Address
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Address Line | 1401 W 31ST ST S
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City | WICHITA
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State | KS
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Zip | 67217-2536
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Country | US
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Telephone | 316-641-7698
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 W 31ST ST S
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City | WICHITA
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State | KS
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Zip | 67217-2536
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Country | US
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Telephone | 316-641-7698
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. PETE MACHUTTA SR.
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Credential |
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Telephone | 316-641-7698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 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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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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