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General NPI Number Information
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NPI Number | 1891560249
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Entity Type | Organization
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Legal Business Name | MOTHERHOOD & MENTAL HEALTH
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 2300 MONTANA AVE STE 410
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City | CINCINNATI
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State | OH
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Zip | 45211-3910
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Country | US
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Telephone | 513-257-3283
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 MONTANA AVE STE 410
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City | CINCINNATI
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State | OH
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Zip | 45211-3910
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Country | US
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Telephone | 513-257-3283
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Fax |
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Authorized Official
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Title or Position | FOUNDER/PRESIDENT
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Name | TAHLISHA DORSEY
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Credential | LISW-S
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Telephone | 513-257-3283
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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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