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General NPI Number Information
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NPI Number | 1114806296
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Entity Type | Organization
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Legal Business Name | SOFT LIFE SESSIONS
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 204 BIG WOODS DR APT 108
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City | POQUOSON
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State | VA
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Zip | 23662-1891
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Country | US
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Telephone | 254-658-1123
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Fax |
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Provider Business Mailing Address
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Address Line | 204 BIG WOODS DR APT 108
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City | POQUOSON
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State | VA
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Zip | 23662-1891
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Country | US
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Telephone | 254-658-1123
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER, CLINICAL DIRECTOR
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Name | MS. MALIKA ROBINSON
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Credential | LPC
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Telephone | 254-658-1123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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