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General NPI Number Information
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NPI Number | 1942872296
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Entity Type | Organization
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Legal Business Name | PERFECTION MENTAL HEALTH SERVICES INC
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 07/15/2021
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Provider Practice Location Address
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Address Line | 15141 PLYMOUTH RD
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City | DETROIT
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State | MI
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Zip | 48227-2412
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Country | US
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Telephone | 248-245-4724
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Fax |
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Provider Business Mailing Address
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Address Line | 15141 PLYMOUTH RD
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City | DETROIT
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State | MI
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Zip | 48227-2412
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Country | US
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Telephone | 248-245-4724
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TASHA LAVETTE JONES
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Credential | LLMSW
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Telephone | 248-245-4724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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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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