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NPI 1083379218

NPI 1083379218 : GOOD4ME COUNSELING AND WELLNESS PLLC : RALEIGH, NC

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General NPI Number Information
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    NPI Number           |    1083379218
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOOD4ME COUNSELING AND WELLNESS PLLC 
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Dates
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    Enumeration Date     |    11/02/2021
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    Last Update Date     |    09/06/2024
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Provider Practice Location Address
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    Address Line         |    3721 BENSON DR RM 2B 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27609-7390
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    Country              |    US
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    Telephone            |    984-343-0904
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    Fax                  |    919-591-0499
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1107 
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    City                 |    KNIGHTDALE
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    State                |    NC
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    Zip                  |    27545-1107
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    Country              |    US
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    Telephone            |    984-343-0904
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    Fax                  |    919-591-0499
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |    MRS. NATALIE NICOLE SCOTT 
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    Credential           |    MA, LCMHC
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    Telephone            |    984-343-0904
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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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