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NPI 1043914484

NPI 1043914484 : ASHE CENTER FOR WELLNESS, LLC : NEW CASTLE, DE

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General NPI Number Information
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    NPI Number           |    1043914484
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASHE CENTER FOR WELLNESS, LLC 
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Dates
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    Enumeration Date     |    03/29/2023
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    Last Update Date     |    03/29/2023
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Provider Practice Location Address
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    Address Line         |    157 N KATRIN CIR 
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    City                 |    NEW CASTLE
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    State                |    DE
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    Zip                  |    19720-3574
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    Country              |    US
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    Telephone            |    302-310-6964
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    147 QUIGLEY BLVD # 12202 
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    City                 |    HISTORIC NEW CASTLE
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    State                |    DE
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    Zip                  |    19720-4103
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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    |    OWNER/MANAGING DIRECTOR
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    Name                 |     SHAMLA  MCLAURIN 
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    Credential           |    PHD, LPC
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    Telephone            |    302-322-7694
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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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