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General NPI Number Information
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NPI Number | 1962216085
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Entity Type | Organization
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Legal Business Name | STABLE BEGINNINGS WELLNESS CENTER
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 6054 BEECHER RD
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City | FLINT
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State | MI
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Zip | 48532-2001
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Country | US
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Telephone | 810-406-9125
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Fax |
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Provider Business Mailing Address
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Address Line | 6054 BEECHER RD
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City | FLINT
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State | MI
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Zip | 48532-2001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAYLOR CROSSLEY
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Credential |
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Telephone | 810-406-9125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 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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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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