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General NPI Number Information
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NPI Number | 1134944515
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Entity Type | Organization
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Legal Business Name | JUST BE COUNSELING AND WELLNESS, PLLC
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 2207 DELANEY DR STE 206
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City | BURLINGTON
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State | NC
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Zip | 27215-5263
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Country | US
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Telephone | 336-280-4404
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Fax | 743-208-6507
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Provider Business Mailing Address
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Address Line | 2207 DELANEY DR STE 206
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City | BURLINGTON
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State | NC
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Zip | 27215-5263
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Country | US
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Telephone | 336-280-4404
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Fax | 743-208-6507
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Authorized Official
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Title or Position | CEO
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Name | MISTY HUMPHRIES
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Credential | LCMHC, NCC
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Telephone | 336-417-9055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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