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General NPI Number Information
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NPI Number | 1114801040
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Entity Type | Organization
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Legal Business Name | PROMISES CONNECTED FAMILY TREATMENT, PLLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 311 BERRYBETH CIR
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City | CHINA GROVE
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State | NC
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Zip | 28023-6838
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Country | US
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Telephone | 980-636-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 311 BERRYBETH CIR
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City | CHINA GROVE
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State | NC
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Zip | 28023-6838
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Country | US
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Telephone | 980-636-7800
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Fax |
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Authorized Official
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Title or Position | CEO/MARRIAGE & FAMILY THERAPIST
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Name | MRS. SOMMER LATAIE EWING
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Credential | LMFT
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Telephone | 980-636-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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