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General NPI Number Information
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NPI Number | 1962486118
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH CONSULTING SERVICES, INC.
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 02/21/2013
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Provider Practice Location Address
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Address Line | 484 MINER RD
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City | HIGHLAND HEIGHTS
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State | OH
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Zip | 44143-1539
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Country | US
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Telephone | 440-796-7448
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Fax | 440-605-0692
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Provider Business Mailing Address
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Address Line | 484 MINER RD
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City | HIGHLAND HEIGHTS
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State | OH
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Zip | 44143-1539
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Country | US
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Telephone | 440-796-7448
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Fax | 440-605-0692
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Authorized Official
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Title or Position | PSYCHOLOGIST PRESIDENT
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Name | RAJENDRA K MISRA
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Credential | PHD PSYCHOLOGIST
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Telephone | 440-796-7448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1251
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License Number State | OH
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