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General NPI Number Information
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NPI Number | 1952794604
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Entity Type | Organization
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Legal Business Name | HEALING STRIDES COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 135 E ERIE ST SUITE 304
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City | KENT
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State | OH
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Zip | 44240-3513
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Country | US
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Telephone | 330-256-0337
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Fax |
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Provider Business Mailing Address
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Address Line | 3862 WILLOW BROOK DR
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City | RAVENNA
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State | OH
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Zip | 44266-8260
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Country | US
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Telephone | 330-256-0337
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | LORALEA ALLEN
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Credential | LPCC-S
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Telephone | 330-256-0337
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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 | E1000353
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License Number State | OH
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