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General NPI Number Information
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NPI Number | 1104795921
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Entity Type | Organization
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Legal Business Name | BLOSSOMING WILLOWS INTEGRATIVE THERAPY, PLLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 11159 AIR PARK RD STE 1
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City | ASHLAND
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State | VA
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Zip | 23005-3500
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Country | US
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Telephone | 804-368-0350
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 66
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City | ASHLAND
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State | VA
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Zip | 23005-0066
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Country | US
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Telephone | 804-368-0350
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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 | MONICA DABNEY
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Credential | LPC
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Telephone | 804-787-3928
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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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