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General NPI Number Information
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NPI Number | 1104648054
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Entity Type | Organization
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Legal Business Name | MINDY KAYE COUNSELING AND COACHING PLLC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1616 NC HIGHWAY 68 N
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City | OAK RIDGE
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State | NC
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Zip | 27310-9667
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Country | US
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Telephone | 336-252-4975
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 OAK RIDGE ROAD #K PMB 108
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City | OAK RIDGE
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State | NC
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Zip | 27310
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Country | US
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Telephone | 336-252-4975
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MINDY KAY WARGUEZ
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Credential | LCMHCA
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Telephone | 336-252-4975
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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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