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General NPI Number Information
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NPI Number | 1902595564
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Entity Type | Organization
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Legal Business Name | ANGELA MUCHA, LPC & BRIAN SCOTT , LPC , LLC
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 413 N GRAND ST STE C
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City | SCHOOLCRAFT
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State | MI
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Zip | 49087-9203
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Country | US
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Telephone | 269-547-0074
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Fax |
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Provider Business Mailing Address
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Address Line | 413 N GRAND ST STE C
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City | SCHOOLCRAFT
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State | MI
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Zip | 49087-9203
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Country | US
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Telephone | 269-858-8722
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Fax |
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Authorized Official
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Title or Position | THERAPIST OWNER
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Name | BRIAN R SCOTT
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Credential | LPC
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Telephone | 269-547-0074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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