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General NPI Number Information
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NPI Number | 1982929725
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Entity Type | Organization
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Legal Business Name | TRANSFORMATION COUNSELING SERVICES
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 04/05/2010
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Provider Practice Location Address
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Address Line | 23886 WENDY LN
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City | SOUTHFIELD
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State | MI
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Zip | 48075-8023
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Country | US
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Telephone | 248-470-1731
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Fax |
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Provider Business Mailing Address
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Address Line | 23886 WENDY LN
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City | SOUTHFIELD
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State | MI
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Zip | 48075-8023
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Country | US
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Telephone | 248-470-1731
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. STEPHANIE RACHAN STEVENSON
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Credential | LPC, NCC
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Telephone | 248-470-1731
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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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