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General NPI Number Information
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NPI Number | 1942091590
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Entity Type | Organization
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Legal Business Name | ADAPTIVE RESILIENCE COUNSELING AND CONSULTATION
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 17164 INDIAN HOLLOW RD
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City | GRAFTON
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State | OH
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Zip | 44044-9621
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Country | US
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Telephone | 216-438-0857
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 161
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City | LAGRANGE
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State | OH
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Zip | 44050-0161
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Country | US
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Telephone | 216-438-0857
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. GRETCHEN BISHOP
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Credential | LISW-S
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Telephone | 216-438-0857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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