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General NPI Number Information
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NPI Number | 1881456234
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Entity Type | Organization
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Legal Business Name | POWER WITHIN COUNSELING
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 114 E HONERINE ST
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City | STOCKTON
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State | UT
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Zip | 84071-7733
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Country | US
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Telephone | 630-803-3286
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Fax |
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Provider Business Mailing Address
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Address Line | 3325 N UNIVERSITY AVE STE 250
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City | PROVO
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State | UT
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Zip | 84604-6617
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Country | US
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Telephone | 435-239-3517
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. CARLY ANNE SCHRIMPL
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Credential | LCSW
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Telephone | 435-239-3517
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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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