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General NPI Number Information
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NPI Number | 1891150041
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Entity Type | Individual
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Provider Name | MELISSA HART MA, LPCC, TCADC
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Gender | Female
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Dates
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Enumeration Date | 12/15/2015
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 138 WALNUT ST
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City | FRANKFORT
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State | KY
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Zip | 40601-3240
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Country | US
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Telephone | 502-545-4284
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Fax | 502-871-5049
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Provider Business Mailing Address
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Address Line | 138 WALNUT ST
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City | FRANKFORT
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State | KY
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Zip | 40601-3240
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Country | US
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Telephone | 502-545-4284
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Fax | 502-871-5049
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 165090
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License Number State | KY
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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 | 239932
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License Number State | KY
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