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General NPI Number Information
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NPI Number | 1083499305
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Entity Type | Organization
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Legal Business Name | COPING WITH LIFE THERAPY PLLC
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 8960 CHERRYS FORD CT
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City | HARRISBURG
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State | NC
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Zip | 28075-9679
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Country | US
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Telephone | 910-658-7434
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Fax | 980-422-0424
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | HARRISBURG
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State | NC
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Zip | 28075-0188
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Country | US
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Telephone | 910-658-7434
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Fax | 980-422-0424
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | AMY STEWART HORNE
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Credential | LCMHC-QS
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Telephone | 910-658-7434
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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 |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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