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General NPI Number Information
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NPI Number | 1992180954
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Entity Type | Organization
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Legal Business Name | FORWARD PERSPECTIVE COUNSELING, LLC
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 12/28/2015
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Provider Practice Location Address
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Address Line | 19639 W 12 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2550
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Country | US
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Telephone | 313-995-8614
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Fax |
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Provider Business Mailing Address
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Address Line | 19639 W 12 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2550
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Country | US
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Telephone | 313-995-8614
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Fax |
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Authorized Official
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Title or Position | FOUNDER/COUNSELING
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Name | MS. HELEMA BALLARD
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Credential | M.A,, LLPC
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Telephone | 313-995-8614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | MI
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Taxonomy #2
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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 | MI
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | MI
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