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General NPI Number Information
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NPI Number | 1033751987
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Entity Type | Organization
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Legal Business Name | WELLSPRING OF HOPE LLC
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Dates
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Enumeration Date | 10/11/2019
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 3723 OLD FOREST RD
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City | LYNCHBURG
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State | VA
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Zip | 24501-6948
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Country | US
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Telephone | 434-439-4822
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Fax |
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Provider Business Mailing Address
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Address Line | 439 WALKERS FORD RD
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City | CONCORD
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State | VA
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Zip | 24538-9361
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Country | US
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Telephone | 434-439-4822
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MARK A SAUNDERS SR.
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Credential | MA
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Telephone | 434-329-8660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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 #3
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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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Taxonomy #4
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #6
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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 #7
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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