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General NPI Number Information
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NPI Number | 1144562323
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Entity Type | Organization
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Legal Business Name | CARTER AND MAY, QMHP
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 178 2ND ST STE B
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City | PIKEVILLE
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State | KY
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Zip | 41501-4069
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Country | US
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Telephone | 606-432-1287
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Fax | 606-509-2345
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Provider Business Mailing Address
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Address Line | 178 2ND ST STE B
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City | PIKEVILLE
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State | KY
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Zip | 41501-4069
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Country | US
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Telephone | 606-432-1287
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Fax | 606-509-2345
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Authorized Official
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Title or Position | OWNER/LPCA
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Name | MRS. LISA MAY
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Credential | LPCA
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Telephone | 606-432-1287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3441
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | KY-0222
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License Number State | KY
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