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General NPI Number Information
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NPI Number | 1932702008
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Entity Type | Individual
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Provider Name | MAHRLEY PARKS MA, LLPC
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Gender | Female
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Dates
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Enumeration Date | 11/19/2020
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 6211 W WILLOW HWY # 199
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City | LANSING
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State | MI
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Zip | 48917-1231
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Country | US
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Telephone | 517-588-6169
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Fax |
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Provider Business Mailing Address
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Address Line | 6211 W WILLOW HWY # 199
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City | LANSING
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State | MI
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Zip | 48917-1231
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Country | US
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Telephone | 517-588-6169
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 6401018814
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License Number State | MI
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