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General NPI Number Information
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NPI Number | 1144143512
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Entity Type | Organization
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Legal Business Name | FORESEEABLE FUTURE
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 9600 TWO NOTCH RD STE 5
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City | COLUMBIA
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State | SC
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Zip | 29223-1612
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Country | US
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Telephone | 470-522-1101
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Fax | 470-209-6135
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Provider Business Mailing Address
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Address Line | 9600 TWO NOTCH RD STE 5
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City | COLUMBIA
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State | SC
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Zip | 29223-1612
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Country | US
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Telephone | 470-522-1101
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Fax | 470-209-6135
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Authorized Official
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Title or Position | CEO
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Name | SHANTAY EVANS
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Credential |
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Telephone | 470-522-1101
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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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