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General NPI Number Information
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NPI Number | 1063135648
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Entity Type | Organization
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Legal Business Name | PARK CIRCLE COUNSELING
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 6296 RIVERS AVENUE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406
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Country | US
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Telephone | 843-732-0007
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 21806
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City | CHARLESTON
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State | SC
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Zip | 29413
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Country | US
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Telephone | 843-732-0007
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. SARAH M. HARBIN
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Credential | LPC
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Telephone | 843-732-0007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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