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General NPI Number Information
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NPI Number | 1891469383
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Entity Type | Organization
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Legal Business Name | THYME COUNSELING
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Dates
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Enumeration Date | 08/06/2021
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 10545 LAKEWOOD PL
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City | LOLO
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State | MT
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Zip | 59847-8705
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Country | US
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Telephone | 406-249-1981
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Fax |
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Provider Business Mailing Address
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Address Line | 10545 LAKEWOOD PL
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City | LOLO
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State | MT
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Zip | 59847-8705
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Country | US
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Telephone | 406-249-1981
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | ARIEL BERG-DIGANGI
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Credential | MSW, LCSW
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Telephone | 406-249-1981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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