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General NPI Number Information
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NPI Number | 1174095186
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Entity Type | Organization
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Legal Business Name | SILVER LININGS COUNSELING, LLC
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 36 W CLEVELAND AVE
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City | VINTON
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State | VA
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Zip | 24179-2508
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Country | US
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Telephone | 540-293-7237
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Fax |
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Provider Business Mailing Address
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Address Line | 7336 MAPLE CT
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City | ROANOKE
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State | VA
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Zip | 24018-9071
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Country | US
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Telephone | 540-293-7237
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. STACIE LONG
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Credential | LPC
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Telephone | 540-293-7237
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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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