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General NPI Number Information
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NPI Number | 1083588578
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Entity Type | Organization
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Legal Business Name | QUIET OAK LLC
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 348 MOUNT CALVARY CHURCH RD
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City | STUART
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State | VA
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Zip | 24171-1608
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Country | US
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Telephone | 276-732-8117
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Fax |
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Provider Business Mailing Address
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Address Line | 510 TANGLEWOOD DR
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City | MARTINSVILLE
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State | VA
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Zip | 24112-0943
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | CAITLIN PILSON
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Credential |
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Telephone | 276-732-8117
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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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