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General NPI Number Information
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NPI Number | 1164346268
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Entity Type | Organization
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Legal Business Name | BLACK WING COUNSELING
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 101 WASHINGTON ST STE 21
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City | MORRISVILLE
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State | PA
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Zip | 19067-7111
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Country | US
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Telephone | 267-463-4271
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Fax |
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Provider Business Mailing Address
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Address Line | 101 WASHINGTON ST STE 21
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City | MORRISVILLE
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State | PA
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Zip | 19067-7111
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Country | US
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Telephone | 267-463-4271
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | CARON WARNER
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Credential | LPC
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Telephone | 267-463-4270
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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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