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General NPI Number Information
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NPI Number | 1053053306
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Entity Type | Organization
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Legal Business Name | THE SHELTERING TREE, LLC
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 6454 BRIDGEWOOD RD
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City | COLUMBIA
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State | SC
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Zip | 29206-2126
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Country | US
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Telephone | 704-451-1433
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Fax |
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Provider Business Mailing Address
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Address Line | 6454 BRIDGEWOOD RD
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City | COLUMBIA
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State | SC
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Zip | 29206-2126
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Country | US
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Telephone | 704-451-1433
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN CHARLES BARNETT
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Credential | LPC, NCC, CCMHC
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Telephone | 704-451-1433
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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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