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General NPI Number Information
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NPI Number | 1023992773
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Entity Type | Organization
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Legal Business Name | SHELIA D. DUNCAN WHEELER, LCSW A LICENSED CLINICAL SOCIAL WORKER CORPORATION
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 19712 MACARTHUR BLVD STE 110
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City | IRVINE
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State | CA
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Zip | 92612-2407
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Country | US
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Telephone | 949-782-7064
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Fax |
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Provider Business Mailing Address
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Address Line | 28202 CABOT RD STE 300
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1249
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Country | US
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Telephone | 888-504-6681
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ PSYCHOTHERAPIST
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Name | MRS. SHELIA DEVAUGHN DUNCAN WHEELER
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Credential | LCSW
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Telephone | 888-504-6681
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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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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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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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