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General NPI Number Information
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NPI Number | 1003566605
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Entity Type | Organization
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Legal Business Name | HALOS COUNSELING
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 322 LAMAR AVE
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City | CHARLOTTE
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State | NC
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Zip | 28204-2436
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Country | US
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Telephone | 866-242-5648
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Fax |
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Provider Business Mailing Address
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Address Line | 2902 WATERSIDE DR
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City | SHELBY
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State | NC
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Zip | 28150-9707
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Country | US
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Telephone | 704-692-0513
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SARAH ANN CURRIE
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Credential | PHD, LCMHCA
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Telephone | 704-692-0513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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