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General NPI Number Information
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NPI Number | 1134033863
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Entity Type | Organization
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Legal Business Name | PIVOT FOR LIFE COUNSELING AND WELLNESS, LLC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 14104 WARWICK BLVD UNIT 2041
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City | NEWPORT NEWS
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State | VA
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Zip | 23609-1002
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Country | US
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Telephone | 571-310-0027
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Fax | 703-842-8443
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Provider Business Mailing Address
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Address Line | 14104 WARWICK BLVD UNIT 2041
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City | NEWPORT NEWS
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State | VA
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Zip | 23609-1002
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Country | US
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Telephone | 571-310-0027
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Fax | 703-842-8443
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Authorized Official
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Title or Position | OWNER, ADMINISTRATOR
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Name | YALONDA N SMITH
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Credential | LPC, LCPC, LCMHC
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Telephone | 571-575-0174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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