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General NPI Number Information
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NPI Number | 1891305801
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Entity Type | Organization
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Legal Business Name | EVERYTHING CHANGES, LLC
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 1620 E BROAD ST STE 102
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City | COLUMBUS
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State | OH
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Zip | 43203-2012
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Country | US
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Telephone | 614-321-9128
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Fax | 614-412-1362
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Provider Business Mailing Address
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Address Line | 1620 E BROAD ST STE 102
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City | COLUMBUS
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State | OH
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Zip | 43203-2012
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Country | US
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Telephone | 614-321-9128
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Fax | 614-412-1362
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | ADAM D WILLS
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Credential | LISW-S
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Telephone | 419-579-0274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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