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General NPI Number Information
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NPI Number | 1912577800
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Entity Type | Organization
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Legal Business Name | ON EAGLES' WINGS TRANSITIONS AND COUNSELING LLC
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 1165 ROUNDTOP RD
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-8289
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Country | US
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Telephone | 740-804-1585
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Fax |
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Provider Business Mailing Address
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Address Line | 1165 ROUNDTOP RD
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-8289
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Country | US
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Telephone | 740-804-1585
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | WARREN LANGFORD SR.
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Credential |
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Telephone | 740-804-1585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #9
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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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Taxonomy #10
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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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