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General NPI Number Information
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NPI Number | 1063020618
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Entity Type | Organization
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Legal Business Name | ANCHOR COUNSELING, LLC
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 08/03/2020
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Provider Practice Location Address
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Address Line | 112B BYPASS 225
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City | GREENWOOD
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State | SC
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Zip | 29646-1154
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Country | US
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Telephone | 864-936-6910
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Fax |
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Provider Business Mailing Address
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Address Line | 112B BYPASS 225
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City | GREENWOOD
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State | SC
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Zip | 29646-1154
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Country | US
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Telephone | 864-936-6910
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. SAMANTHA ANN BLACK
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Credential | LPC
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Telephone | 864-936-6910
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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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