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General NPI Number Information
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NPI Number | 1013528504
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Entity Type | Organization
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Legal Business Name | BENAY'S CREATIVE COUNSELING, LLC
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 08/10/2020
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Provider Practice Location Address
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Address Line | 4914 FITZHUGH AVE STE 214
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City | RICHMOND
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State | VA
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Zip | 23230-3534
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Country | US
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Telephone | 804-337-5337
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Fax | 804-377-3956
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Provider Business Mailing Address
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Address Line | 14112 FARADAY CT
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City | CHESTER
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State | VA
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Zip | 23831-6594
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Country | US
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Telephone | 804-337-5337
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Fax | 804-706-1741
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Authorized Official
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Title or Position | OWNER
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Name | MS. TIFFANY BENAY JAMES
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Credential | LPC
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Telephone | 804-337-5337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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