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General NPI Number Information
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NPI Number | 1134960602
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Entity Type | Organization
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Legal Business Name | ONE STEP FORWARD COUNSELING, LLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 181 E EVANS ST STE 314
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City | FLORENCE
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State | SC
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Zip | 29506-2511
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Country | US
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Telephone | 843-942-9434
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Fax | 843-790-1227
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Provider Business Mailing Address
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Address Line | 181 E EVANS ST STE 314
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City | FLORENCE
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State | SC
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Zip | 29506-2511
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Country | US
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Telephone | 843-260-9067
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | BRITTANY BOATWRIGHT
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Credential | MA
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Telephone | 843-942-9434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health 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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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