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General NPI Number Information
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NPI Number | 1073366654
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Entity Type | Organization
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Legal Business Name | BEAUTIFUL STATE COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 04/11/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 1817 PICKENS ST
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City | COLUMBIA
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State | SC
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Zip | 29201-2630
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Country | US
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Telephone | 803-386-8014
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Fax |
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Provider Business Mailing Address
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Address Line | 1817 PICKENS ST
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City | COLUMBIA
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State | SC
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Zip | 29201-2630
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Country | US
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Telephone | 803-386-8014
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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 | ASHLEY D KING
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Credential | LPC
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Telephone | 803-386-8014
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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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