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General NPI Number Information
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NPI Number | 1093635039
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Entity Type | Organization
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Legal Business Name | UNIVERSAL ELEMENTS THERAPY PRACTICE PLLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 13272 NORTH MOUNTAINEER HIGHWAY
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City | ARTHURDALE
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State | WV
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Zip | 26520
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Country | US
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Telephone | 681-404-0810
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 709
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City | REEDSVILLE
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State | WV
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Zip | 26547-0709
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Country | US
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Telephone | 681-404-0810
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICAL THERAPIST
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Name | MIRANDA TALKINGTON
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Credential | LICSW
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Telephone | 681-404-0810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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