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General NPI Number Information
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NPI Number | 1114638251
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Entity Type | Organization
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Legal Business Name | MOVING FORWARD COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 12/09/2022
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 1403 GREENBRIER PKWY STE 200
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2876
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Country | US
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Telephone | 757-328-6031
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Fax | 757-793-2319
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Provider Business Mailing Address
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Address Line | 2 KING GEORGE QUAY
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City | CHESAPEAKE
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State | VA
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Zip | 23325-4750
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Country | US
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Telephone | 757-328-6031
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Fax | 757-793-2319
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Authorized Official
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Title or Position | CEO/CLINICIAN
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Name | MRS. ARKITIA S PEGRAM-CRAWLEY
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Credential | LPC
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Telephone | 757-328-6031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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