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General NPI Number Information
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NPI Number | 1164045134
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Entity Type | Organization
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Legal Business Name | ACORNS N BONES OUTREACH MINISTRIES COUNSELING
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Dates
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Enumeration Date | 05/25/2020
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 710 BULTMAN DR
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City | SUMTER
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State | SC
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Zip | 29150-2517
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Country | US
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Telephone | 803-883-4237
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Fax | 803-883-4004
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Provider Business Mailing Address
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Address Line | 710 BULTMAN DR
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City | SUMTER
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State | SC
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Zip | 29150-2517
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Country | US
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Telephone | 803-883-4237
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, LPCS, LPC, LAC
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Name | DR. TIA BUCHANAN
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Credential | PHD., LPCS, LPC,LAC
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Telephone | 803-565-3878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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