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NPI 1083153258

NPI 1083153258 : STAIRWAY COUNSELING SERVICES, LLC : AIKEN, SC

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General NPI Number Information
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    NPI Number           |    1083153258
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    Entity Type          |    Organization 
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    Legal Business Name  |    STAIRWAY COUNSELING SERVICES, LLC 
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Dates
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    Enumeration Date     |    02/21/2017
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    Last Update Date     |    02/21/2017
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Provider Practice Location Address
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    Address Line         |    306 LAURENS ST NW SUITE D
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    City                 |    AIKEN
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    State                |    SC
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    Zip                  |    29801-3968
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    Country              |    US
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    Telephone            |    803-643-4263
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    Fax                  |    803-648-7665
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Provider Business Mailing Address
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    Address Line         |    306 LAURENS ST NW SUITE D
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    City                 |    AIKEN
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    State                |    SC
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    Zip                  |    29801-3968
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    Country              |    US
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    Telephone            |    803-643-4263
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    Fax                  |    803-648-7665
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. CHERYL E CUMMINGS 
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    Credential           |    PH.D., NCC, LPC
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    Telephone            |    803-643-4263
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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       |    5289
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    License Number State |    SC
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