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Provider Information for 1083244982


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MIRANDA KEPLINGER LPC-MHSP


Sex: Female

NPI: 1083244982
Last Updated: 2025-01-02
Certification Date: 2025-01-02

Details

NameValue
NPI1083244982
Enumeration Date2020-01-19
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 4160 OCOEE ST N STE 8
CLEVELAND, TN 37312-4886
United States

Phone: | Fax:
 
Primary Practice Address 4160 OCOEE ST N STE 8
CLEVELAND, TN 37312-4886
United States

Phone: 888-291-4357 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthTN7430