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General NPI Number Information
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NPI Number | 1144048679
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Entity Type | Organization
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Legal Business Name | A LIGHT TO MY PATH COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 17201 ROUTE 1
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City | SOUTH CHESTERFIELD
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State | VA
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Zip | 23834-5336
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Country | US
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Telephone | 804-691-7917
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Fax |
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Provider Business Mailing Address
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Address Line | 12324 WINDSOR RD
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City | CHESTER
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State | VA
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Zip | 23831-4257
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Country | US
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Telephone | 804-691-7917
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Fax |
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Authorized Official
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Title or Position | OWNER, LCSW
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Name | SCOTT GILCHRIST
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Credential |
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Telephone | 804-691-7917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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