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General NPI Number Information
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NPI Number | 1164206686
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Entity Type | Organization
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Legal Business Name | IN THE MOMENT COUNSELING & LIFE COACHING LLC
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 7059 SAUVAGE LN
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City | GAINESVILLE
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State | VA
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Zip | 20155-1682
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Country | US
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Telephone | 240-432-9621
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1103
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City | DUMFRIES
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State | VA
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Zip | 22026-9103
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Country | US
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Telephone | 240-432-9621
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. NIAH RICHARDSON
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Credential |
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Telephone | 240-432-9621
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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 |
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License Number State |
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