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General NPI Number Information
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NPI Number | 1003109133
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Entity Type | Organization
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Legal Business Name | SECUREHANDS BEHAVIORAL HEALTH SERVICES, PLLC
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Dates
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Enumeration Date | 05/23/2011
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Last Update Date | 02/02/2019
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Provider Practice Location Address
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Address Line | 2827 ARLINGTON AVE
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-5403
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Country | US
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Telephone | 910-987-9430
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Fax | 910-868-6181
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Provider Business Mailing Address
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Address Line | PO BOX 25234
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-5003
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Country | US
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Telephone | 910-308-2286
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEBORAH L JAMES
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Credential | PHD, LPC, BC-TMH NCC
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Telephone | 910-308-2286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 8341
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8341
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 8341
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8341
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 8341
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License Number State | NC
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