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General NPI Number Information
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NPI Number | 1053105502
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Entity Type | Organization
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Legal Business Name | HUCKLEBERRY HEALTH, LLC
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 8761 DORCHESTER RD STE 200
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City | NORTH CHARLESTON
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State | SC
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Zip | 29420-7322
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Country | US
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Telephone | 843-212-6979
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Fax |
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Provider Business Mailing Address
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Address Line | 8761 DORCHESTER RD STE 200
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City | NORTH CHARLESTON
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State | SC
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Zip | 29420-7322
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Country | US
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Telephone | 843-212-6979
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. NARLIN SMITH
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Credential | NP
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Telephone | 843-212-6979
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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 | 103T00000X
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Taxonomy Name | 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 | 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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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 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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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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