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General NPI Number Information
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NPI Number | 1902414733
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Entity Type | Organization
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Legal Business Name | INSPIRED MENTAL HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 07/17/2020
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 318 S BRIDGE ST STE A
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City | BELDING
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State | MI
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Zip | 48809-1764
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Country | US
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Telephone | 231-425-8768
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Fax | 616-591-5686
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Provider Business Mailing Address
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Address Line | 595 W PARMETER RD
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City | IONIA
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State | MI
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Zip | 48846-9515
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Country | US
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Telephone | 231-425-8768
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MRS. CARRIE LYNN BUCHOLTZ
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Credential | MA LPC
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Telephone | 231-425-8768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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