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NPI 1063488773

NPI 1063488773 : FAMILY WORKS PSYCHOLOGICAL CENTER, PLLC : WILMINGTON, NC

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General NPI Number Information
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    NPI Number           |    1063488773
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAMILY WORKS PSYCHOLOGICAL CENTER, PLLC 
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Dates
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    Enumeration Date     |    02/23/2006
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    Last Update Date     |    08/25/2025
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Provider Practice Location Address
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    Address Line         |    2002 EASTWOOD RD STE 303 
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    City                 |    WILMINGTON
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    State                |    NC
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    Zip                  |    28403-7203
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    Country              |    US
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    Telephone            |    910-509-0588
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    Fax                  |    910-509-0586
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Provider Business Mailing Address
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    Address Line         |    2002 EASTWOOD RD STE 303 
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    City                 |    WILMINGTON
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    State                |    NC
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    Zip                  |    28403-7203
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    Country              |    US
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    Telephone            |    910-509-0588
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    Fax                  |    910-509-0586
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Authorized Official
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    Title or Position    |    OWNER/DIRECTOR
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    Name                 |    DR. GUY TOREN KASHGARIAN 
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    Credential           |    PHD
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    Telephone            |    910-231-3761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |    NC
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Taxonomy #2
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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 #3
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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 |    NC
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Taxonomy #4
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    
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    License Number State |    NC
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Taxonomy #5
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    Taxonomy Code        |    103TF0000X
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    Taxonomy Name        |    Family Psychologist
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    License Number       |    
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    License Number State |    NC
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Taxonomy #6
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    
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    License Number State |    NC
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Taxonomy #7
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    NC
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Taxonomy #8
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    NC
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Taxonomy #9
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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 |    NC
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Taxonomy #10
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    2550
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    License Number State |    NC
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