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General NPI Number Information
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NPI Number | 1952912255
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Entity Type | Organization
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Legal Business Name | LET LIGHT IN THERAPY SERVICES LLC
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 100 CHESTERFIELD BUSINESS PKWY FL 2
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1271
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Country | US
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Telephone | 816-663-9916
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Fax |
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Provider Business Mailing Address
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Address Line | 912 SOUTHWIND CT
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City | COLLINSVILLE
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State | IL
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Zip | 62234-1542
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Country | US
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Telephone | 816-730-0949
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AISLINN BALDI
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Credential | LPC
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Telephone | 816-730-0949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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