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General NPI Number Information
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NPI Number | 1013575141
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Entity Type | Organization
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Legal Business Name | EVOLVING LIFE COUNSELING AND PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 3500 WESTGATE DR STE 504
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City | DURHAM
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State | NC
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Zip | 27707-2568
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Country | US
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Telephone | 910-212-4441
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Fax | 844-965-9504
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Provider Business Mailing Address
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Address Line | PO BOX 315
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City | DURHAM
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State | NC
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Zip | 27702-0315
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Country | US
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Telephone | 910-212-4441
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Fax | 844-965-9504
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Authorized Official
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Title or Position | OWNER
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Name | WHITNEY ZANETA GATLING
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Credential | MS
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Telephone | 910-212-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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