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General NPI Number Information
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NPI Number | 1104530153
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Entity Type | Organization
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Legal Business Name | DONNA MARIE HOLISTIC COUNSELING AND COACHING
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 201 SIGMA DR STE 300
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City | SUMMERVILLE
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State | SC
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Zip | 29486-7722
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Country | US
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Telephone | 843-900-1728
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Fax |
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Provider Business Mailing Address
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Address Line | 201 SIGMA DR STE 300
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City | SUMMERVILLE
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State | SC
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Zip | 29486-7722
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Country | US
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Telephone | 843-900-1728
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | DONNA MARIE WHITE
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Credential | LPCS, LPC, LAC
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Telephone | 843-900-1728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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