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General NPI Number Information
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NPI Number | 1033512645
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Entity Type | Organization
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Legal Business Name | HOLISTIC FAMILY SOLUTIONS INC.
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Dates
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Enumeration Date | 09/28/2014
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 1919 COMMERCE DR 160
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City | HAMPTON
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State | VA
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Zip | 23666-4269
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Country | US
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Telephone | 757-251-6376
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Fax | 757-788-8599
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Provider Business Mailing Address
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Address Line | 1919 COMMERCE DR 160
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City | HAMPTON
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State | VA
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Zip | 23666-4269
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Country | US
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Telephone | 757-251-6376
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Fax | 757-788-8599
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Authorized Official
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Title or Position | CEO
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Name | STEPHANIE JACKSON AFONJA
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Credential |
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Telephone | 75725163276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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