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General NPI Number Information
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NPI Number | 1154109650
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Entity Type | Individual
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Provider Name | LAUREN POWELL M.ED
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Gender | Female
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 3974 SPRINGFIELD RD STE A
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City | GLEN ALLEN
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State | VA
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Zip | 23060-4119
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Country | US
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Telephone | 804-495-8661
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 BUCKINGHAM STATION DR APT 1C
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-4292
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Country | US
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Telephone | 443-786-9992
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0704016216
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License Number State | VA
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