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General NPI Number Information
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NPI Number | 1972200699
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Entity Type | Organization
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Legal Business Name | SARAH THE SEX THERAPIST, LLC
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 1971 E BELTLINE AVE STE 106 #530
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-7045
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Country | US
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Telephone | 616-952-3135
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Fax |
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Provider Business Mailing Address
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Address Line | 2743 HENRY ST # 147
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City | MUSKEGON
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State | MI
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Zip | 49441-3509
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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 | MENTAL HEALTH THERAPIST
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Name | SARAH HUNT
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Credential | LMSW
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Telephone | 616-952-3135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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