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General NPI Number Information
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NPI Number | 1912708850
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Entity Type | Organization
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Legal Business Name | WILD AND WISE COUNSELING LLC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 302 S RANDOLPH ST
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City | WEEPING WATER
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State | NE
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Zip | 68463-4209
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Country | US
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Telephone | 402-413-8476
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Fax |
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Provider Business Mailing Address
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Address Line | 663 N 132ND ST # 7271
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City | OMAHA
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State | NE
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Zip | 68154-4031
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN P HILLER
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Credential |
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Telephone | 402-413-8476
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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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Taxonomy #2
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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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