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General NPI Number Information
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NPI Number | 1063061620
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Entity Type | Organization
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Legal Business Name | HOPEFULL COUNSELING AND PSYCHIATRY LLC
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Dates
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Enumeration Date | 09/06/2019
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 3310 HARRISON RD
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City | COLUMBIA
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State | SC
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Zip | 29204-3427
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Country | US
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Telephone | 803-590-8623
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Fax | 803-636-2436
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Provider Business Mailing Address
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Address Line | 3310 HARRISON RD
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City | COLUMBIA
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State | SC
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Zip | 29204-3427
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Country | US
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Telephone | 803-590-8623
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Fax | 803-636-2436
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | CLINTON SMITH
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Credential |
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Telephone | 803-590-8623
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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 | 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 #3
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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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