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General NPI Number Information
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NPI Number | 1144705815
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Entity Type | Organization
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Legal Business Name | PERRY WELLNESS COUNSELING, PLLC
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 6733 FAIRVIEW RD STE B
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City | CHARLOTTE
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State | NC
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Zip | 28210-3652
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Country | US
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Telephone | 980-270-1939
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Fax | 980-270-4557
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Provider Business Mailing Address
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Address Line | PO BOX 25923
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City | CHARLOTTE
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State | NC
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Zip | 28229-5923
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Country | US
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Telephone | 980-270-1939
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Fax | 980-270-4557
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MS. CHERYL D PERRY
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Credential | MA LCMHCA NCC
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Telephone | 980-270-1939
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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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