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General NPI Number Information
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NPI Number | 1164068623
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Entity Type | Organization
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Legal Business Name | EIRENE COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 11/20/2019
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Provider Practice Location Address
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Address Line | 6807 PATTERSON AVE STE A
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City | RICHMOND
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State | VA
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Zip | 23226-3651
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Country | US
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Telephone | 804-404-5691
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Fax |
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Provider Business Mailing Address
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Address Line | 2631 WALDO LN
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City | HENRICO
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State | VA
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Zip | 23228-5148
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Country | US
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Telephone | 917-627-7242
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN ANDERSON
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Credential | LPC
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Telephone | 804-404-5691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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