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General NPI Number Information
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NPI Number | 1912504002
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Entity Type | Organization
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Legal Business Name | BEING CENTERED LLC
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Dates
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Enumeration Date | 10/02/2020
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 524 E MAIN ST
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City | LOWELL
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State | MI
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Zip | 49331-1718
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Country | US
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Telephone | 616-319-1255
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 45
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City | LOWELL
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State | MI
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Zip | 49331-0045
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Country | US
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Telephone | 616-319-1255
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | AMY KERIN CREAGH
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Credential | MA LLP
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Telephone | 616-319-1255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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