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General NPI Number Information
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NPI Number | 1023763612
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Entity Type | Organization
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Legal Business Name | JOURNEY BEYOND ROADBLOCKS COUNSELING
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Dates
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Enumeration Date | 02/13/2022
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Last Update Date | 02/13/2022
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Provider Practice Location Address
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Address Line | 6305 LUDWELL LN
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City | SUMMERVILLE
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State | SC
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Zip | 29486-8127
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Country | US
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Telephone | 843-304-3306
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Fax |
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Provider Business Mailing Address
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Address Line | 1318 N MAIN ST # 1139
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City | SUMMERVILLE
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State | SC
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Zip | 29483-7308
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. KAREEMAH M STEPNEY
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Credential | LCSW, LISW-CP
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Telephone | 843-304-3306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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