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General NPI Number Information
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NPI Number | 1154263044
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Entity Type | Organization
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Legal Business Name | DEEPER WELL THERAPY PLLC
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 901 PAVERSTONE DR
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City | RALEIGH
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State | NC
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Zip | 27615-4710
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Country | US
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Telephone | 541-727-2122
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Fax |
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Provider Business Mailing Address
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Address Line | 2104 FRISSELL AVE
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City | APEX
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State | NC
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Zip | 27502-9069
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Country | US
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Telephone | 541-727-2122
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | LAUREN BAKER
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Credential | MA, LMFTA, PMH-C
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Telephone | 541-727-2122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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