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General NPI Number Information
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NPI Number | 1972432953
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Entity Type | Organization
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Legal Business Name | THY WHOLE SELF HEALTH AND LIFE COACHING LLC
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 24801 5 MILE RD STE 25
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City | REDFORD
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State | MI
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Zip | 48239-3653
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Country | US
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Telephone | 313-251-4471
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Fax | 855-500-0701
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Provider Business Mailing Address
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Address Line | 24801 5 MILE RD STE 25
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City | REDFORD
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State | MI
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Zip | 48239-3653
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Country | US
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Telephone |
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Fax | 855-500-0701
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Authorized Official
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Title or Position | CEO
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Name | SHALINA NEVINS
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Credential | FNP
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Telephone | 313-251-4471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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