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General NPI Number Information
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NPI Number | 1992473086
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Entity Type | Organization
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Legal Business Name | CALMING WATERS COUNSELING LLC
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 39325 PLYMOUTH RD STE 201
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City | LIVONIA
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State | MI
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Zip | 48150-4531
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Country | US
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Telephone | 734-395-1993
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Fax |
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Provider Business Mailing Address
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Address Line | 40406 GUILFORD
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City | NOVI
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State | MI
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Zip | 48375-3617
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Country | US
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Telephone | 734-395-1993
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | SHANNON K BOLTON
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Credential | LPC
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Telephone | 734-395-1993
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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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