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General NPI Number Information
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NPI Number | 1942768031
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Entity Type | Organization
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Legal Business Name | SERENITY AND HOPE LLC
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 03/07/2019
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Provider Practice Location Address
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Address Line | 2703 7TH STREET
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City | TUSCALOOSA
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State | AL
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Zip | 35401
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Country | US
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Telephone | 205-579-2836
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Fax |
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Provider Business Mailing Address
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Address Line | 2703 7TH STREET
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City | TUSCALOOSA
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State | AL
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Zip | 35401
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Country | US
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Telephone | 205-579-2836
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MRS. RACHEL NEUBACHER
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Credential | LPC
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Telephone | 205-579-2836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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