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General NPI Number Information
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NPI Number | 1922590694
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Entity Type | Organization
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Legal Business Name | SOUL'S JOURNEY COUNSELING, LLC
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 08/06/2022
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Provider Practice Location Address
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Address Line | 3443 MEDINA RD STE 101C
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City | MEDINA
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State | OH
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Zip | 44256-5965
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Country | US
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Telephone | 330-975-0079
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 561
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City | SHARON CENTER
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State | OH
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Zip | 44274-0561
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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 | BEVERLY R MAJOR
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Credential | LPCC
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Telephone | 330-819-0792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E1800546
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License Number State | OH
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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 | E1800546
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License Number State | OH
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