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General NPI Number Information
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NPI Number | 1023933629
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Entity Type | Organization
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Legal Business Name | BLACK CAT COUNSELING & WELLNESS, PLLC
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 4012 OLD STURBRIDGE DR
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City | APEX
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State | NC
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Zip | 27539-9799
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Country | US
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Telephone | 757-469-1720
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Fax |
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Provider Business Mailing Address
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Address Line | 4012 OLD STURBRIDGE DR
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City | APEX
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State | NC
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Zip | 27539-9799
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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 | MENTAL HEALTH COUNSELOR
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Name | SAMANTHA C EUBANKS
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Credential | LCMHC, NCC
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Telephone | 757-469-1720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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