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General NPI Number Information
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NPI Number | 1982405205
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Entity Type | Organization
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Legal Business Name | AGILITY COUNSELING GROUP LLC
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Dates
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Enumeration Date | 03/22/2025
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 3409 N HOLLAND SYLVANIA RD
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City | TOLEDO
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State | OH
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Zip | 43615-1405
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Country | US
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Telephone | 513-284-3656
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Fax |
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Provider Business Mailing Address
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Address Line | 2329 MEADOWWOOD DR
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City | TOLEDO
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State | OH
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Zip | 43606-3158
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Country | US
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Telephone | 513-284-3656
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONELLE HABIBA MASSEY
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Credential | LPC
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Telephone | 513-284-3656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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