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NPI 1023814589

NPI 1023814589 : EMPOWERING AND QUIETING MINDS PSYCHOTHERAPY PLLC : GREENVILLE, NC

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General NPI Number Information
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    NPI Number           |    1023814589
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMPOWERING AND QUIETING MINDS PSYCHOTHERAPY PLLC 
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Dates
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    Enumeration Date     |    02/24/2025
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    Last Update Date     |    02/24/2025
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Provider Practice Location Address
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    Address Line         |    110 E ARLINGTON BLVD STE F 
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    City                 |    GREENVILLE
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    State                |    NC
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    Zip                  |    27858-5012
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    Country              |    US
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    Telephone            |    252-526-1177
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    241 BRIGHT RD 
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    City                 |    SNOW HILL
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    State                |    NC
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    Zip                  |    28580-9760
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    Country              |    US
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    Telephone            |    252-526-1177
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. JOSHUA AARON WADE 
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    Credential           |    LCSW-A, LCAS-A
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    Telephone            |    252-526-1177
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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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