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General NPI Number Information
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NPI Number | 1164282166
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Entity Type | Organization
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Legal Business Name | ATHELAS COUNSELING & WELLNESS, PLLC
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 19501 W CATAWBA AVE STE 280
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City | CORNELIUS
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State | NC
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Zip | 28031-4067
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Country | US
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Telephone | 704-770-5818
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Fax |
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Provider Business Mailing Address
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Address Line | 8404 DUCKWOOD LN
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City | CHARLOTTE
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State | NC
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Zip | 28215-8050
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Country | US
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Telephone | 704-214-4127
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | MOLLY HURST
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Credential |
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Telephone | 704-770-5818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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